Susan Warren Bentley, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1031194 Issued in AL

Practice address

2095 Florence Blvd
Florence, AL 35630-2751

Phone

(256) 766-2310

Fax

(256) 768-9956

NPI assigned

Dec 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susan Warren Smith Former name

Medicare fee-for-service enrollment

Enrolled in AL

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, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Options Wellness, LLPGroup PAC ID 2365890779, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Options Wellness, LLP

  • Women's Health Nurse Practitioner
  • Muscle Shoals, AL
  • NPI 1760267041
  Medicare reassignment Care Compare group NPD
• Cardiovascular Institute of the Shoals PC

  • Cardiovascular Disease Physician
  • Florence, AL
  • NPI 1003105644
  Medicare reassignment NPD
• Shoals Primary Care, LLC

  • Family Medicine Physician
  • Sheffield, AL
  • NPI 1326373861
  Medicare reassignment NPD
• Lauderdale Radiology Group LLP

  • Radiologic Technologist
  • Florence, AL
  • NPI 1073605762
  NPD (past)
• Jemsek Clinic PA

  • Clinic Pharmacy
  • Huntersville, NC
  • NPI 1770528903
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Shoals LLC

  • General Acute Care Hospital
  • Sheffield, AL
  • NPI 1508952235
  Care Compare affiliation

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1194702969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 FLORENCE BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302751",
            "telephone_number": "256-766-2310",
            "fax_number": "256-768-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 FLORENCE BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302751",
            "telephone_number": "256-766-2310",
            "fax_number": "256-768-9956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Avalon Ave",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "35661",
            "country_code": "US",
            "telephone_number": "256-978-5740",
            "fax_number": "256-978-5770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Avalon Ave",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "356612401",
            "country_code": "US",
            "telephone_number": "256-978-5740",
            "fax_number": "256-978-5770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "SUSAN",
        "middle_name": "WARREN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1031194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214361",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SMITH",
            "middle_name": "WARREN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nurse Practitioner in Florence, AL
• Providers in Florence, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.