DEAN ROBINS WENTWORTH (FNP) – Adult Health Nurse Practitioner, NPI 1528268034

DEAN ROBINS WENTWORTH (FNP) is a healthcare provider. based in Gleneden beach, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 75068 (KS). The NPI Number for DEAN ROBINS WENTWORTH (FNP) is 1528268034

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DEAN ROBINS WENTWORTH (FNP)
NPI
1528268034
Phone
(971) 409-3985
Address
PO BOX 1152
Enumeration Date
23 July 2007
Last Update Date
1 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7853207576
Graduation Year
2007 (19 years ago)
PAC ID
7719070176
Group Practice PAC ID
0648419770
Professional Enrollment ID
I20100125000794
Address ID
KS665027481MA1404XTERX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:18State licenses:4Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for DEAN ROBINS WENTWORTH (FNP)

  • PO BOX 1152

    235 LORRAINE STREET

    GLENEDEN BEACH, OR 97388

    Phone: (971) 409-3985

    Type: Mailing

  • 235 Lorraine St

    Gleneden Beach, OR 97388

    Phone: (971) 409-3985

    Type: Location

  • Gleneden Beach Loop, Gleneden Station, Gleneden Beach, Lincoln County, Oregon, 97388, United States

    GLENEDEN BEACH, OR 97388

    Phone: (971) 409-3985

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070831000033INurse PractitionerORTBD
I20100125000794INurse PractitionerKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97388)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648419770View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KS
Nurse PractitionerKS

Reviews

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Frequently asked questions

How do I look up DEAN ROBINS WENTWORTH (FNP) by NPI?
Use NPI 1528268034 when you need to reference DEAN ROBINS WENTWORTH (FNP) in forms, claims, or directories.
Is DEAN ROBINS WENTWORTH (FNP) active in the national directory?
DEAN ROBINS WENTWORTH (FNP)'s public NPI profile is in an active state.
Does DEAN ROBINS WENTWORTH (FNP) list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for DEAN ROBINS WENTWORTH (FNP). Clinical services aligned with this taxonomy classification.
What location shows for DEAN ROBINS WENTWORTH (FNP)?
We surface Gleneden Beach, Oregon for DEAN ROBINS WENTWORTH (FNP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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