ANGELA R BENTLEY (NP) – Family Nurse Practitioner, NPI 1053501866
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for ANGELA R BENTLEY (NP)
PO BOX 1510
EAU CLAIRE, WI 547021510
Phone: (715) 838-5222
Type: Mailing
1836 SOUTH AVE
LA CROSSE, WI 546015429
Phone: (608) 782-7300
Type: Location
1400 Bellinger St
Eau Claire, WI 547035222
Phone: (715) 838-5222
Type: Location
1836 South Ave
LA Crosse, WI 546015429
Phone: (608) 782-7300
Type: Location
500 W Grant St
Lake City, MN 550411143
Phone: (507) 377-6285
Type: Location
200 1st St SW
Rochester, MN 559051143
Phone: (507) 284-2511
Type: Location
8170 Old Carriage Ct Ste 100
Shakopee, MN 553793164
Phone: (952) 428-3600
Fax: (952) 428-3636
Type: Location
1400, Bellinger Street, Cannery District, Eau Claire, Eau Claire County, Wisconsin, 54703, United States
EAU CLAIRE, WI 547035222
Phone: (715) 838-5222
Type: Location
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 377-6285
Type: Mailing
500 W GRANT ST
LAKE CITY, MN 550411143
Phone: (507) 377-6285
Type: Location
2925 CHICAGO AVE
MINNEAPOLIS, MN 554071321
Phone: (612) 262-9000
Type: Mailing
800 E 28TH ST
STE H2100
MINNEAPOLIS, MN 55407
Phone: (612) 863-3900
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: 2011-08-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070816000896 | I | Nurse Practitioner | WI | TBD |
| I20110816000564 | I | Nurse Practitioner | MN | 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 54702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | MN | |
| Obstetrics/Gynecology, General Practice | MN | |
| - | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| General Surgery | MN |
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