Christie Bentz, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

102586 Issued in AK

Practice address

3027 Mountainwood Cir
Juneau, AK 99801-9624

Phone

(802) 558-6758

NPI assigned

Sep 17, 2015

Last updated

Sep 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bartlett Regional HospitalGroup PAC ID 1759469174, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bartlett Regional Hospital Hospital, Juneau, AK, CCN 020008

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHEABD
• FHIR API: https://fhir4.healow.com/fhir/r4/DHEABD/Endpoint/DHEABD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bartlett Regional Hospital

  dba Bartlett Surgery & Specialty Clinic

  • Surgery Physician
  • Juneau, AK
  • NPI 1508044835
  Medicare reassignment Care Compare group
• Alpine Dermatology, LLC

  • Medical Physician Assistant
  • Juneau, AK
  • NPI 1053619098
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bartlett Regional Hospital

  • General Acute Care Hospital
  • Juneau, AK
  • NPI 1891849261
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1003285222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 MOUNTAINWOOD CIR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019624",
            "telephone_number": "802-558-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 MOUNTAINWOOD CIR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019624",
            "telephone_number": "802-558-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTZ",
        "first_name": "CHRISTIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AK",
            "license": "102586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Bennett
• Denise Bennett
• Leah Bennett
• Michael J Bennett, O.D
• Nannette Bennett
• Stephen Berger
• Tristan Berkey
• Mona Bibb, CTT
• Bicknell Inc
• Birdland Ak LLC (Channel Physical Therapy)

• Surgical Physician Assistant in Juneau, AK
• Providers in Juneau, AK by specialty
• Surgical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.