Individual provider Active NPI

Angela R Bentley, NP

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1053501866
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
141166 Issued in WI
Practice address
800 E 28TH St
Ste H2100
Minneapolis, MN 55407
Phone
(612) 863-3900
NPI assigned
Jul 27, 2007
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 14116 WI
Nurse Practitioner 363L00000X R 202693-0 MN
Nurse Practitioner 363L00000X 3180 WI
Nurse Practitioner 363L00000X 696 MN
Adult Health Nurse Practitioner 363LA2200X 696 MN
Family Nurse Practitioner 363LF0000X 141166 WI Primary

Addresses

Primary practice location

800 E 28TH St
Ste H2100
Minneapolis, MN 55407

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Other practice location 1

8170 Old Carriage Ct Ste 100
Shakopee, MN 55379-3164
Phone (952) 428-3600

Other practice location 2

1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222

Other practice location 3

200 1st St SW
Rochester, MN 55905-1143
Phone (507) 284-2511

Other practice location 4

500 W Grant St
Lake City, MN 55041-1143
Phone (507) 377-6285

Other practice location 5

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abentley866563@direct.gundersenhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070816000896 WI Practitioner - Nurse Practitioner 5193817369 Reassigns benefits to 7 organizations
I20110816000564 MN Practitioner - Nurse Practitioner 5193817369 Reassigns benefits to 17 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MeekerGroup PAC ID 0840109740, shared by 4 NPIs, 44 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 87 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

612 S Sibley Ave
Litchfield, MN 55355-3340
Phone (320) 693-3233

800 E 28TH St
Suite H2100
Minneapolis, MN 55407-3723
Phone (612) 863-3900

9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone (763) 780-9155

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3180WIMDMedical Physician Assistant
R 202693-0MNMDNurse Practitioner
696MNMDAdult Health Nurse Practitioner
14116WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Jacksonville CurrentSince Nov 17, 2020 Accepting new patients
Community Memorial Hospital Association CurrentSince Feb 1, 2022 Accepting new patients
Allina Health System CurrentSince Jan 1, 2024 Accepting new patients
St Francis Regional Medical Center CurrentSince Jan 24, 2023 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
County of Meeker CurrentSince Feb 12, 2020 Accepting new patients
Centracare Health System - Long Prairie CurrentSince May 1, 2022 Accepting new patients
Mayo Clinic Jacksonville CurrentSince Nov 17, 2020 Accepting new patients
Black River Memorial Hospital Inc CurrentSince Mar 1, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Black River Health Inc CurrentSince Mar 1, 2024 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jun 22, 2021 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Jul 7, 2025 Accepting new patients
River's Edge Hospital & Clinic CurrentSince Feb 1, 2023 Accepting new patients
St. Francis Regional Medical Center CurrentSince Jan 24, 2023 Accepting new patients
Allina Health System Current Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Feb 1, 2023 Accepting new patients
Centracare Health System - Long Prairie CurrentSince May 1, 2022 Accepting new patients
Mayo Clinic Health System-Lake City Current Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Mar 18, 2024 Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
Emergency Medicine of Racine SC CurrentSince Aug 31, 2022 Accepting new patients
Upland Hills Health, Inc CurrentSince Oct 27, 2023 Accepting new patients
County of Meeker Current Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince May 24, 2016 Accepting new patients
Centracare Health System - Melrose CurrentSince Feb 1, 2023 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Feb 1, 2023 Accepting new patients
Black River Health Inc Current Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Mar 18, 2024 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince May 24, 2016 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
County of Meeker CurrentSince Feb 12, 2020 Accepting new patients
Twin Cities Physicians Professional Corporation Nurse Practitioner CurrentSince Mar 4, 2025 Accepting new patients
County of Meeker Past Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients

Locations (25 of 33)

29980 Network Pl
Chicago, IL 60673

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

32021 County 24 Blvd
Cannon Falls, MN 55009
Phone (507) 263-6000

512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207

100 State Ave
Faribault, MN 55021
Phone (507) 334-3921

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

1415 Lilac Dr N
Ste 190
Minneapolis, MN 55422
Phone (763) 267-8701

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

800 E 28th St
Ste H2100
Minneapolis, MN 55407
Phone (612) 863-3900

9055 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 780-9155

1324 5th St N
New Ulm, MN 56073
Phone (507) 217-5000

200 W 1st St
Paynesville, MN 56362
Phone (320) 243-3767

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

6150 Egan Dr
Savage, MN 55378
Phone (952) 228-2552

8170 Old Carriage Ct
Ste 100
Shakopee, MN 55379
Phone (952) 428-3600

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-3604

Interoperability endpoints

  • Direct secure messaging: abentley434840@direct-ehr-ssmhc.com
  • Direct secure messaging: abentley501310@direct.centracare.com
  • Direct secure messaging: abentley866563@direct.gundersenhealth.org

Organizations & group practices 40

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.

View all 40

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1053501866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 28TH ST",
            "address_2": "STE H2100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "612-863-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8170 Old Carriage Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553793164",
            "country_code": "US",
            "telephone_number": "952-428-3600",
            "fax_number": "952-428-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Bellinger St",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547035222",
            "country_code": "US",
            "telephone_number": "715-838-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559051143",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Grant St",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "MN",
            "postal_code": "550411143",
            "country_code": "US",
            "telephone_number": "507-377-6285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "ANGELA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "14116",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R 202693-0",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3180",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "696",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "696",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "141166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abentley866563@direct.gundersenhealth.org",
            "affiliation": "N",
            "address_1": "1836 South Ave",
            "city": "LA Crosse",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546015429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.