ABBEY JO BENTLEY (MSN, CPNP, PMHNP-BC) – Pediatric Nurse Practitioner, NPI 1184184632
Pediatric Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191203001473 | I | Nurse Practitioner | UT | 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.
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
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | UT | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | UT | |
| Pediatric Medicine | UT | |
| - | UT | |
| - | UT | |
| - | OH | |
| - | UT | |
| - | UT | |
| - | UT | |
| - | UT |
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