Active NPI
Kristin Bentz, CNS
- Clinical Nurse Specialist
- Vadnais Heights, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- R147352-6
- Practice address
- 3580 Arcade St Ste 250
Vadnais Heights, MN 55127-7135 - Phone
- (651) 968-5770
- Fax
- (651) 968-5775
- NPI assigned
- Jan 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | R147352-6 | MN | Primary |
Addresses
Primary practice location
3580 Arcade St Ste 250
Vadnais Heights, MN 55127-7135
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140430002544 | MN | Practitioner - Certified Clinical Nurse Specialist (CNS) | 6709019565 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R147352-6 | MN | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopedics, LTD. | Current | Accepting new patients | |
| Summit Orthopedics LTD | Current | Accepting new patients | |
| Summit Orthopedics, LTD | Current | Accepting new patients | |
| Ilbnc, P.a. | Past | Accepting new patients |
Locations
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
2620 Eagan Woods Dr
Saint Paul, MN 55121
Phone (651) 968-5142
3580 Arcade St
Ste 250
Vadnais Heights, MN 55127
Phone (651) 968-5790
3580 Arcade St
Vadnais Heights, MN 55127
Phone (651) 968-5600
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Eden Prairie, MN
- NPI 1417639626
-
- Occupational Medicine Clinic/Center
- Saint Paul, MN
- NPI 1275684128
-
- Orthopaedic Surgery of the Spine Physician
- Bloomington, MN
- NPI 1023001815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1003239781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 COMMERCE DR STE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254925",
"telephone_number": "651-968-5042",
"fax_number": "651-968-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 ARCADE ST STE 250",
"city": "VADNAIS HEIGHTS",
"state": "MN",
"postal_code": "551277135",
"telephone_number": "651-968-5770",
"fax_number": "651-968-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTZ",
"first_name": "KRISTIN",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-30",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "MN",
"license": "R147352-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vadnais Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.