Jayne Ann Bentley

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

88982 Issued in OK

Practice address

1800 W 1St St Ste 102
Elk City, OK 73644-3133

Phone

(580) 225-2515

Fax

(580) 303-5850

NPI assigned

Jul 7, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Farmers Union Hospital AssociationGroup PAC ID 7517949415, shared by 7 NPIs, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great Plains Regional Medical Center Hospital, Elk City, OK, CCN 370019

Merit-based Incentive Payment System (MIPS)

Final score

78.72 of 100Reported as group

Quality

61.08

Promoting interoperability

99

Improvement activities

40

Cost

57

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.

• Farmers Union Hospital Association

  • Rural Health Clinic/Center
  • Elk City, OK
  • NPI 1114421492
  NPD
• Farmers Union Hospital Association

  • General Acute Care Hospital
  • Elk City, OK
  • NPI 1184639122
  NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

• Farmers Union Hospital Association

  • Rural Health Clinic/Center
  • Elk City, OK
  • NPI 1023512308

  Hospital

  Care Compare affiliation
• Farmers Union Hospital Association

  • Rural Health Clinic/Center
  • Elk City, OK
  • NPI 1114421492

  Hospital

  Care Compare affiliation
• Farmers Union Hospital Association

  • General Acute Care Hospital
  • Elk City, OK
  • NPI 1184639122
  Care Compare affiliation

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

{
    "created_epoch": "1373155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1356782304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W 3RD ST STE 100",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445160",
            "telephone_number": "580-339-8001",
            "fax_number": "580-339-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST STE 102",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-225-2515",
            "fax_number": "580-303-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Hollis",
            "state": "OK",
            "postal_code": "735501436",
            "country_code": "US",
            "telephone_number": "580-688-2800",
            "fax_number": "580-688-2193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 W 3rd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Elk City",
            "state": "OK",
            "postal_code": "736445160",
            "country_code": "US",
            "telephone_number": "580-339-8001",
            "fax_number": "580-339-8031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 S Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Elk City",
            "state": "OK",
            "postal_code": "736449608",
            "country_code": "US",
            "telephone_number": "580-303-5890",
            "fax_number": "580-303-5891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 W 3rd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Elk City",
            "state": "OK",
            "postal_code": "736445160",
            "country_code": "US",
            "telephone_number": "580-339-8001",
            "fax_number": "580-339-8031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "JAYNE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-07",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "88982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200511070A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James William Bass III, M.D.
• Amy Battles
• Bell Ave SNF Operations LLC
• Bell Avenue Nursing LLC
• Jeremy Mark Bennight, PHARMD
• Rebecca Benton
• Aspen Best
• Daniel Gene Bintz, O.D.
• Kelly Lynn Birdshead
• Nichole Marie Blackburn, FNP-C

• Family Nurse Practitioner in Elk City, OK
• Providers in Elk City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.