ABBEY JO BENTLEY (MSN, CPNP, PMHNP-BC) – Pediatric Nurse Practitioner, NPI 1184184632

ABBEY JO BENTLEY (MSN, CPNP, PMHNP-BC) is a healthcare provider. based in American fork, Utah. specializing in Pediatric Nurse Practitioner. They hold the professional credentials MSN, CPNP, PMHNP-BC. They hold a License No. 10785478-4405 (UT). The NPI Number for ABBEY JO BENTLEY (MSN, CPNP, PMHNP-BC) is 1184184632

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ABBEY JO BENTLEY (MSN, CPNP, PMHNP-BC)
NPI
1184184632
Phone
(801) 492-4333
Address
1248 E 90 N STE 202
Enumeration Date
21 March 2019
Last Update Date
23 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012133599
Graduation Year
2019 (7 years ago)
PAC ID
1557794617
Group Practice PAC ID
0547552473
Professional Enrollment ID
I20191203001473

Contacts

Secure Messaging
ABENTLEY383306@DIRECT.MED.UTAH.EDU
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Other namesUpdated within 12 months

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Provider Addresses for ABBEY JO BENTLEY (MSN, CPNP, PMHNP-BC)

  • East 90 North, American Fork, Utah County, Utah, 84003, United States

    AMERICAN FORK, UT 840032959

    Phone: (801) 492-4333

    Fax: (801) 492-4371

    Type: Mailing

  • 50 W Broadway Ste 300

    Salt Lake City, UT 841012044

    Phone: (800) 465-3203

    Type: Location

  • 295 S CHIPETA WAY

    SALT LAKE CITY, UT 841081287

    Phone: (801) 581-4296

    Fax: (801) 492-4371

    Type: Mailing

  • 81 N MARIO CAPECCHI DR

    SALT LAKE CITY, UT 841131125

    Phone: (801) 662-1000

    Type: Location

  • 1138 S WEST TEMPLE

    SALT LAKE CITY, UT 841013119

    Phone:

    Type: Mailing

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: 2019-12-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191203001473INurse PractitionerUTTBD

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

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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 84003)

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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: 0547552473View full group profile

Reviews

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Frequently asked questions

What NPI should I save for ABBEY JO BENTLEY (MSN, CPNP, PMHNP-BC)?
Save NPI 1184184632 if you need a stable reference for ABBEY JO BENTLEY (MSN, CPNP, PMHNP-BC).
Is ABBEY JO BENTLEY (MSN, CPNP, PMHNP-BC) active in the national directory?
ABBEY JO BENTLEY (MSN, CPNP, PMHNP-BC)'s public NPI profile is in an active state.
What does ABBEY JO BENTLEY (MSN, CPNP, PMHNP-BC) treat or focus on?
Patients typically see ABBEY JO BENTLEY (MSN, CPNP, PMHNP-BC) under the specialty Pediatric Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for ABBEY JO BENTLEY (MSN, CPNP, PMHNP-BC)?
The page summarizes American Fork, Utah for ABBEY JO BENTLEY (MSN, CPNP, PMHNP-BC); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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