Marie Elianthe Bentz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

261026 Issued in AZ

Practice address

5722 E Stillwater Ave Unit 8
Orange, CA 92869-3187

Phone

(714) 465-0875

NPI assigned

Jan 19, 2021

Last updated

Oct 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Gilbert Recker 2, LLCGroup PAC ID 2668870874, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drbentz@sgmc-az.direct.office.nextgen.com

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.

• Clinica Medica Familiar San Gabriel, LLC

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1609632298

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Gilbert Recker 2, LLC

  dba LifeQuest Physical Medicine & Rehab

  • Physical Medicine & Rehabilitation Physician
  • Gilbert, AZ
  • NPI 1407467962

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1659316008

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Advanced Minimally Invasive Surgical

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1295056919
  Medicare reassignment
• Hope Diabetes Center, LLC

  dba Clinica Esperanza-Hope Primary Care, LLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1104865757
  Medicare reassignment
• I Am Wellness Az LLC

  • Adult Medicine Physician
  • Chandler, AZ
  • NPI 1184354532
  Medicare reassignment
• Maria Gonzalez Berlari, MD LLC

  dba GB Family Care, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1699025981
  Medicare reassignment
• Michael F Esber DPM PC

  • Foot Surgery Podiatrist
  • Sun City West, AZ
  • NPI 1902907504
  Medicare reassignment
• Progressive Pain Management Inc

  • Interventional Pain Medicine Physician
  • Casa Grande, AZ
  • NPI 1881866754
  Medicare reassignment
• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Sierra Vista, AZ
  • NPI 1891933560
  NPD

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1548850134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 E STILLWATER AVE UNIT 8",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693187",
            "telephone_number": "714-465-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 E STILLWATER AVE UNIT 8",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693187",
            "telephone_number": "714-465-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTZ",
        "first_name": "MARIE",
        "middle_name": "ELIANTHE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "261026",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95013446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherlyn Ann Benois-Green, AU.D, CCC-A, FAAA
• Nyah Benoit
• Nicholas James Benson, AU.D.
• Jillian Anne Benton
• Layla Arianna Benton
• Sara Benvenuto
• Rimal B Bera, MD
• Maria Esther Berber-Arias
• Brenda Roxanne Berber
• Klemens Wilhelm Berberich

• Family Nurse Practitioner in Orange, CA
• Providers in Orange, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.