Individual provider Active NPI

Dana Bentley, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1306589767
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11018936 Issued in FL
Practice address
12308 Country White Cir
Tampa, FL 33635-6280
Phone
(727) 267-3879
NPI assigned
Apr 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11018936 FL Primary
Emergency Registered Nurse 163WE0003X 9437413 FL

Addresses

Primary practice location

12308 Country White Cir
Tampa, FL 33635-6280

Mailing address

12308 Country White Cir
Tampa, FL 33635-6280
Phone (727) 267-3879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220527000075 FL Practitioner - Nurse Practitioner 3678951977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14522 University Point PL
Tampa, FL 33613-5425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9437413FLMDEmergency Registered Nurse
11018936FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica J Wilson Chan D O PA CurrentSince May 3, 2022 Accepting new patients
Physical Medicine Center CurrentSince May 3, 2022 Accepting new patients
Dr. Jeffrey T. Farrell, P.a. PastSince Jun 10, 2026 Accepting new patients

Locations

14522 University Point Pl
Tampa, FL 33613
Phone (813) 978-0020

Organizations & group practices 3

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": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1306589767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12308 COUNTRY WHITE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336356280",
            "telephone_number": "727-267-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12308 COUNTRY WHITE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336356280",
            "telephone_number": "727-267-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "DANA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018936",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "9437413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.