Individual provider Active NPI

Kathleen Bentley, NP-BC

  • Family Nurse Practitioner
  • Plymouth, MA
National Provider Identifier
1114513694
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2278851 Issued in MA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110176297AMedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210527001552 MA Practitioner - Nurse Practitioner 9830598622 Reassigns benefits to 10 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2278851MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Oct 28, 2024 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Ma Pacs 2 PC CurrentSince Oct 28, 2024 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Mar 21, 2022 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Apr 29, 2025 Accepting new patients
Integrated Wound Care Massachusetts PLLC CurrentSince Jul 15, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Apr 29, 2025 Accepting new patients
Jordan Physician Associates, Inc. Family CurrentSince Sep 6, 2022 Accepting new patients
Cityblock Medical Practice, P.a. CurrentSince Nov 1, 2023 Accepting new patients
Mamdouh Riad MD PC CurrentSince Dec 19, 2024 Accepting new patients
Massachusetts Post Acute Medical Services 1 PC CurrentSince Oct 28, 2024 Accepting new patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Aug 1, 2023 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Mar 21, 2022 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

  • FHIR API: https://api.platform.athenahealth.com/2967/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

View all 16

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

Verify at the official NPI Registry.