Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristine M Bennett, PA-C

Individual provider Physician Assistant · NPI 1649204041

Kristine M Bennett, PA-C is a Physician Assistant in Statesville, North Carolina. Graduated from Mid West Medical College in 1996, 30 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
30
Trained at
Mid West Medical College
Licensed in
NC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

152 Sherlock Dr
Statesville, NC 28625-1916
Phone: (704) 838-8210
Fax: (704) 924-5359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 532 W Park Cir, N Wilkesboro, NC 28659-3547 — (336) 667-6600
  • 1450 Professional Park Dr Ste 150, Winston Salem, NC 27103-1307 — (336) 724-2434

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04920 (NC)

Record details

NPI number1649204041
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMID WEST MEDICAL COLLEGE
Graduated 1996 (30 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

Other providers in Statesville