Individual provider Active NPI

Eola Anne Bentley-Force, FNP

  • Family Nurse Practitioner
  • Palm Desert, CA
National Provider Identifier
1124340922
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19093 Issued in CA
Practice address
72650 Fred Waring Dr
Suite 214
Palm Desert, CA 92260-5006
Phone
(760) 776-7999
Fax
(760) 776-7994
NPI assigned
Feb 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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 19093 CA Primary

Addresses

Primary practice location

72650 Fred Waring Dr
Suite 214
Palm Desert, CA 92260-5006

Mailing address

72650 Fred Waring Dr
Suite 214
Palm Desert, CA 92260-5006
Phone (760) 776-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170919001851 CA Practitioner - Nurse Practitioner 9335370436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain and Spine Center of the Desert IncGroup PAC ID 4385811009, 2 clinicians

Practice addresses (Care Compare)

72650 Fred Waring Dr
Suite 214
Palm Desert, CA 92260-5010
Phone (760) 776-7999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19093CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Spine Center of the Desert Inc. CurrentSince Sep 1, 2017 Accepting new patients

Locations

72650 Fred Waring Dr
Ste 214
Palm Desert, CA 92260
Phone (760) 776-7999

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1124340922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72650 FRED WARING DR",
            "address_2": "SUITE 214",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605006",
            "telephone_number": "760-776-7999",
            "fax_number": "760-776-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72650 FRED WARING DR",
            "address_2": "SUITE 214",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605006",
            "telephone_number": "760-776-7999",
            "fax_number": "760-776-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY-FORCE",
        "first_name": "EOLA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.