Active NPI
Kathleen Bentley, NP-BC
- Family Nurse Practitioner
- Plymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2278851
- Practice address
- 140 Samoset St Ste 2
Plymouth, MA 02360-4802 - Phone
- (508) 209-5362
- Fax
- (508) 209-5393
- NPI assigned
- Dec 18, 2020
- Last updated
- Jul 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2278851 | MA | Primary |
Addresses
Primary practice location
140 Samoset St Ste 2
Plymouth, MA 02360-4802
Mailing address
10 Ferry St Ste 302
Concord, NH 03301-5081
Phone (603) 333-1471
Other practice location 1
484 Route 134
South Dennis, MA 02660-3423
Phone (508) 694-7901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110176297A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2278851 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Northeast, LLC | Current | Accepting new patients | |
| Jordan Physician Associates, Inc. | Current | Accepting new patients | |
| Ma Pacs 2 PC | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Integrated Wound Care Massachusetts PLLC | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Jordan Physician Associates, Inc. | Family | Current | Accepting new patients |
| Cityblock Medical Practice, P.a. | Current | Accepting new patients | |
| Mamdouh Riad MD PC | Current | Accepting new patients | |
| Massachusetts Post Acute Medical Services 1 PC | Current | Accepting new patients | |
| Comprehensive Rehab Consultants PLLC | Family | Current | Accepting new patients |
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Amac Neurology and Sleep Medicine Associates, LLC | Past | Accepting new patients | |
| Ipc Hospitalists of New England, P.C. | Family | Past | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355
95 Commercial St
Braintree, MA 02184
Phone (781) 848-0596
120 S Main St
Centerville, MA 02632
Phone (508) 775-1835
111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200
184 Main St
Fairhaven, MA 02719
Phone (508) 742-3737
200 Mill Rd
Ste 190
Fairhaven, MA 02719
Phone (508) 973-0857
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010
100 Independence Dr
Ste 3
Hyannis, MA 02601
Phone (508) 790-4568
237 State Rd
North Dartmouth, MA 02747
Phone (508) 717-8903
140 Samoset St
#2
Plymouth, MA 02360
Phone (508) 209-5362
275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000
46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920
37 Route 6A
Sandwich, MA 02563
Phone (508) 888-8222
100 Grove St
Ste 115
Worcester, MA 01605
Phone (347) 463-5529
101 Plantation St
Worcester, MA 01604
Phone (501) 604-3025
360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700
492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468
495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (347) 463-5529
Interoperability endpoints
- https://api.platform.athenahealth.com/2967/brand/1/csg/1/fhir/r4
- kbentley20406@direct.southcoast.org
Organizations & group practices 16
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.
-
- Urgent Care Clinic/Center
- Worcester, MA
- NPI 1790528628
-
- General Practice Physician
- Wilmington, MA
- NPI 1437629458
-
- Family Medicine Physician
- Plymouth, MA
- NPI 1538145131
-
- Hospitalist Physician
- Chelsea, MA
- NPI 1265918791
-
- Specialist
- Hyannis, MA
- NPI 1639279342
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
dba Comprehensive Rehab Consultants LLC
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
Family, MA
-
- Hospitalist Physician
- Annapolis, MD
- NPI 1699204503
MA
-
- Urgent Care Clinic/Center
- Sturbridge, MA
- NPI 1386526192
-
- Urgent Care Clinic/Center
- Plainville, MA
- NPI 1477244846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1114513694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 FERRY ST STE 302",
"city": "CONCORD",
"state": "NH",
"postal_code": "033015081",
"telephone_number": "603-333-1471",
"fax_number": "603-255-7286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 SAMOSET ST STE 2",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604802",
"telephone_number": "508-209-5362",
"fax_number": "508-209-5393"
}
],
"practiceLocations": [
{
"address_1": "484 Route 134",
"address_purpose": "LOCATION",
"city": "South Dennis",
"state": "MA",
"postal_code": "026603423",
"country_code": "US",
"telephone_number": "508-694-7901",
"fax_number": "508-694-7898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENTLEY",
"first_name": "KATHLEEN",
"credential": "NP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-18",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2278851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110176297A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.