Individual provider Active NPI

Nora L Bentley, CRNA

  • Certified Registered Nurse Anesthetist
  • Medina, OH
National Provider Identifier
1508816067
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN-196070 Issued in OH
Practice address
3780 Medina Rd Ste 120
Medina, OH 44256-9312
Phone
(330) 208-2720
Fax
(330) 208-2721
NPI assigned
May 12, 2006
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN-196070 OH Primary

Addresses

Primary practice location

3780 Medina Rd Ste 120
Medina, OH 44256-9312

Mailing address

2215 E Waterloo Rd Ste 313
Akron, OH 44312-3856
Phone (330) 208-2720

Other identifiers 8

IdentifierTypeStateIssuer
0863623MedicaidOH
2080224OtherOHEMP UNITED HEALTHCARE GRP
100153OtherOHEMPLOYER KAISER GROUP #
34-0891295OtherOHEMPLOYER FEDERAL TAX ID #
7091249MedicaidOH
000000125743OtherOHANTHEM BCBS INDV NUMBER
120805OtherOHKAISER PERMANENTE INDV #
730617OtherOHBUCKEYE COMMUNITY HLTH PL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051101000203 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557388261 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHZ Limited PTRGroup PAC ID 9739160334, 5 clinicians

Practice addresses (Care Compare)

4441 Hudson Dr
Stow, OH 44224-2218
Phone 44065650502030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-196070OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
LHZ Limited PTR Current Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Dec 28, 2016 Accepting new patients
LHZ Limited PTR Nurse Anesthetist, Certified Registered CurrentSince Oct 20, 2018 Accepting new patients
Lababidi Enterprises Inc. CurrentSince Mar 8, 2018 Accepting new patients
Akron Pediatric Ophthalmology and Ophthalmic Plastic Surgery, Inc Past Accepting new patients
Professional Anesthesia Service Inc PastSince Apr 29, 1998 Accepting new patients

Locations

2215 E Waterloo Rd
Ste 313
Akron, OH 44312
Phone (330) 208-2721

975 S Sawburg Ave
Alliance, OH 44601
Phone (330) 821-7997

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

1560 Corporate Woods Pkwy
Green, OH 44685
Phone 3302082720 ext. 11207

225 Elyria St
Lodi, OH 44254
Phone (330) 948-1222

3780 Medina Rd
Ste 120
Medina, OH 44256
Phone (330) 753-6643

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

4441 Hudson Dr
Stow, OH 44224
Phone (330) 920-4500

Interoperability endpoints

  • Direct secure messaging: nbentley641926@ehrdirect.uhhospitals.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1508816067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E WATERLOO RD STE 313",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443123856",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 MEDINA RD STE 120",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569312",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "NORA",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN-196070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0863623",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMP UNITED HEALTHCARE GRP",
            "identifier": "2080224",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER KAISER GROUP #",
            "identifier": "100153",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER FEDERAL TAX ID #",
            "identifier": "34-0891295",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7091249",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS INDV NUMBER",
            "identifier": "000000125743",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE INDV #",
            "identifier": "120805",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY HLTH PL",
            "identifier": "730617",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.