Individual provider Active NPI

Melissa Claire Bentley, APN

  • Women's Health Nurse Practitioner
  • Wayne, NJ
National Provider Identifier
1306283841
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ00431800 Issued in NJ
Practice address
1777 Hamburg Tpke
Wayne, NJ 07470-5211
Phone
(973) 831-1800
NPI assigned
May 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ00431800 NJ Primary

Addresses

Primary practice location

1777 Hamburg Tpke
Wayne, NJ 07470-5211

Mailing address

312 Dixon Ave
Boonton, NJ 07005-2026
Phone (973) 452-7628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20140929000763 NJ Practitioner - Nurse Practitioner 3577783430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

16 Pocono Rd
Denville, NJ 07834-2901
Phone (973) 784-3935

16 Pocono Rd
Denville, NJ 07834-2905

16 Pocono Rd
Suite 309
Denville, NJ 07834-2908
Phone (973) 983-7695

Hospital & facility affiliations

  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC CurrentSince Sep 1, 2014 Accepting new patients

Locations

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

99 Cherry Hill Rd
Ste 220
Parsippany, NJ 07054
Phone (973) 316-6763

1 Cedar Crest Village Dr
Pompton Plns, NJ 07444
Phone (973) 831-3540

1777 Hamburg Tpke
Ste 202
Wayne, NJ 07470
Phone (973) 831-1800

1777 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 831-1800

Interoperability endpoints

  • Direct secure messaging: melissa.bentley.1@27010.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1306283841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 DIXON AVE",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070052026",
            "telephone_number": "973-452-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705211",
            "telephone_number": "973-831-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "MELISSA",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00431800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.