JAYNE ANN BENTLEY – Family Nurse Practitioner, NPI 1356782304
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for JAYNE ANN BENTLEY
404 S Eastern Ave
Elk City, OK 736449608
Phone: (580) 303-5890
Fax: (580) 303-5891
Type: Location
1710 W 3RD ST STE 100
ELK CITY, OK 736445160
Phone: (580) 339-8001
Fax: (580) 339-8031
Type: Location
400 E Sycamore St
Hollis, OK 735501436
Phone: (580) 688-2800
Fax: (580) 688-2193
Type: Location
1710 W 3rd St Ste 100
Elk City, OK 736445160
Phone: (580) 339-8001
Fax: (580) 339-8031
Type: Location
1800 W 1ST ST STE 102
ELK CITY, OK 736443133
Phone: (580) 225-2515
Fax: (580) 303-5850
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $1,169.
Total Amount is formed as General ($1,169) + Research ($0) + Ownership ($0) = $1,169.
Last reported payment date: 2024-04-02 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($876).
Total Amount
$1,169
General + Research + Ownership
Payments
22
Total payment records
General Amount
$1,169
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Relievant Medsystems, Inc. | $876 |
| Merck Sharp & Dohme LLC | $157 |
| Medtronic, Inc. | $72 |
| MML US, Inc. | $25 |
| Collegium Pharmaceutical, Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-10-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131026000034 | I | Nurse Practitioner | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,515 | 438 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 999 | 311 | $0 |
| G2011 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes | 441 | 308 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 243 | 116 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 74 | 74 | $0 |
Insurance plans in this area (ZIP 73644)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| General Practice | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Emergency Medicine | OK | |
| General Surgery | OK | |
| Nurse Practitioner | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Emergency Medicine | OK |
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