Active NPI
Marcy J Bents, CNP
- Nurse Practitioner
- Woodbury, MN
National Provider Identifier
1053587048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R122149-3
- Practice address
- 1925 Woodwinds Dr
Woodbury, MN 55125-2270 - Phone
- (651) 232-0100
- NPI assigned
- Apr 30, 2008
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R122149-3 | MN | Primary |
Addresses
Primary practice location
1925 Woodwinds Dr
Woodbury, MN 55125-2270
Mailing address
3190 Frontier Dr
Woodbury, MN 55129-7787
Phone (651) 253-0958
Other names 1
- Marcy J Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1188 | MN | MD | Physician Assistant |
| R122149-3 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1053587048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3190 FRONTIER DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551297787",
"telephone_number": "651-253-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 WOODWINDS DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252270",
"telephone_number": "651-232-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTS",
"first_name": "MARCY",
"middle_name": "J",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R122149-3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCY",
"last_name": "MILLER",
"middle_name": "J",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.