Simone Natasha Bentley, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5151 Issued in CT

Practice address

9900 Bren Rd E
Mail Route MN 008-B213
Minnetonka, MN 55343-9664

Phone

(860) 967-2723

NPI assigned

Sep 3, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Health Care Management LLCGroup PAC ID 8022497874, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Proactive Health Care Management,LLC

  • Adult Health Nurse Practitioner
  • Milford, CT
  • NPI 1811641145
  Medicare reassignment Care Compare group NPD
• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053

  Adult Health

  Medicare reassignment NPD
• Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford, CT
  • NPI 1730284605
  Medicare reassignment
• Renew Wound Care of Connecticut PLLC

  • Internal Medicine Physician
  • Bristol, CT
  • NPI 1992492854
  Medicare reassignment

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1174872469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S MAIN ST",
            "address_2": "STE 1300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381035513",
            "telephone_number": "901-422-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "address_2": "MAIL ROUTE MN 008-B213",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "860-967-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "SIMONE",
        "middle_name": "NATASHA",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-03",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "5151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Benson, L.AC., M.C.M.
• Bradford B Benson, LISCW
• Burton Allan Benson Jr., MD
• Etoshia Rene Benson, APRN-C
• Kristin Ann Benson, MD
• Deborah Lee Bento, APRN, AGNP
• Mary Sue Beran, MD
• Rebecca Berg
• Dawn M Berger, NP
• Kristen Berger, CCC-SLP

• Adult Health Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Adult Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.