CARLY BENDZANS (CNM) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083002158
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CARLY BENDZANS (CNM)
64 Robbins St
Waterbury, CT 067082600
Phone: (203) 573-6000
Type: Location
7377 NE CHERRY DR
HILLSBORO, OR 971247331
Phone: (508) 272-2668
Type: Mailing
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
Phone: (503) 418-4500
Type: Location
2550 ALBANY AVE # 1120
WEST HARTFORD, CT 061172335
Phone: (508) 272-2668
Type: Location
49 CRESCENT ST
MIDDLETOWN, CT 064573601
Phone: (508) 272-2668
Type: Location
40 HILLCREST AVE
MIDDLETOWN, CT 064575322
Phone: (508) 272-2668
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Abbott Laboratories ($44).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $44 |
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: 2022-12-21
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 |
|---|---|---|---|---|
| I20221221000539 | I | Certified Nurse Midwife (Cnm) | CT | 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 06708)
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