Individual provider Active NPI

Nanette K Bentley, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Tampa, FL
National Provider Identifier
1457644536
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME135508 Issued in FL
Practice address
4129 N Armenia Ave Ste B
Tampa, FL 33607
Phone
(813) 879-3699
Fax
(813) 873-8469
NPI assigned
May 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME135508 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME135508 FL Primary

Addresses

Primary practice location

4129 N Armenia Ave Ste B
Tampa, FL 33607

Mailing address

4129 N Armenia Ave Ste B
Tampa, FL 33607-6436
Phone (813) 879-3699

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180626001200 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7810133444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Missouri, Kansas City, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Lung Specialists, P.a.Group PAC ID 1557407624, 16 clinicians

Practice addresses (Care Compare)

4129 N Armenia Ave
Tampa, FL 33607-6436
Phone (813) 879-3699

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Lung Specialists, P.a. Pulmonary Disease CurrentSince Jun 15, 2018 Accepting new patients
Raul Sierra MD PA Past Accepting new patients

Locations

4129 N Armenia Ave
Tampa, FL 33607
Phone (813) 870-3342

4129 N Armenia Ave
Ste B
Tampa, FL 33607
Phone (813) 877-7526

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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 6

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": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1457644536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076436",
            "telephone_number": "813-879-3699",
            "fax_number": "813-873-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-879-3699",
            "fax_number": "813-873-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "NANETTE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME135508",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME135508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.