Individual provider Active NPI

Candace Bentley, APNP, FNP-BC

  • Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1275188393
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Practice address
8532 W Capitol Dr Ste L100
Milwaukee, WI 53222-1850
Phone
(414) 249-4566
Fax
(414) 238-9489
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 9238-33 WI
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8532 W Capitol Dr Ste L100
Milwaukee, WI 53222-1850

Mailing address

8532 W Capitol Dr Ste L100
Milwaukee, WI 53222-1850
Phone (414) 249-4566

Other identifiers 1

IdentifierTypeStateIssuer
100092110MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20200220001690 WI Practitioner - Nurse Practitioner 8123455748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8532 W Capitol Dr
Suite L100
Milwaukee, WI 53222-1850
Phone (414) 249-4566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9238-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Single Specialty CurrentSince Jan 4, 2020 Accepting new patients
Healthy Mom & Healthy Baby Mke Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Single Specialty CurrentSince Jan 4, 2020 Accepting new patients
CB S NP Health Services LLC Single Specialty CurrentSince Aug 13, 2021 Accepting new patients

Locations

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

8532 W Capitol Dr
Ste L100
Milwaukee, WI 53222
Phone (414) 344-6788

11414 W Park Pl
Ste 202
Milwaukee, WI 53224
Phone (414) 292-7060

7901 S 6th St
Oak Creek, WI 53154
Phone (414) 346-8000

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

Organizations & group practices 4

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1275188393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8532 W CAPITOL DR STE L100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221850",
            "telephone_number": "414-249-4566",
            "fax_number": "414-238-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 W CAPITOL DR STE L100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221850",
            "telephone_number": "414-249-4566",
            "fax_number": "414-238-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "CANDACE",
        "credential": "APNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9238-33",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092110",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.