Individual provider Active NPI

Corey Lynn Bentley

  • Family Nurse Practitioner
  • Ironton, OH
National Provider Identifier
1699385690
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.026442 Issued in OH
Practice address
912 Park Ave
Ironton, OH 45638-1596
Phone
(740) 532-1100
Fax
(740) 534-0029
NPI assigned
Aug 4, 2020
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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 3016108 KY
Family Nurse Practitioner 363LF0000X APRN.CNP.026442 OH Primary

Addresses

Primary practice location

912 Park Ave
Ironton, OH 45638-1596

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-9571

Other names 1

  • Corey Lynn Matthews Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210709001749 OH Practitioner - Nurse Practitioner 7416359674 Reassigns benefits to 1 organization
I20210802001223 KY Practitioner - Nurse Practitioner 7416359674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, shared by 6 NPIs, 169 clinicians

Practice addresses (Care Compare)

2245 Winchester Ave
Ashland, KY 41101-7848
Phone (606) 406-2600

912 Park Ave
Ironton, OH 45638-1596
Phone (740) 534-0021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.026442OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation CurrentSince Jun 14, 2021 Accepting new patients
Ashland Hospital Corporation Family CurrentSince Jun 14, 2021 Accepting new patients

Locations

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

12470 US Route 60
Ashland, KY 41102
Phone (606) 408-6303

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2245 Winchester Ave
Ashland, KY 41101
Phone (606) 408-2600

398 Diederich Blvd
Ashland, KY 41101
Phone (606) 324-2055

609 N Carol Malone Blvd
#100
Grayson, KY 41143
Phone (606) 474-7892

354 N Mayo Trl
Paintsville, KY 41240
Phone (606) 372-0221

912 Park Ave
Ironton, OH 45638
Phone (740) 532-1100

384 County Road 120 S
South Point, OH 45680
Phone (740) 894-2080

Interoperability endpoints

  • Direct secure messaging: cbentley29640@direct.kdhealth.us

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1699385690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 PARK AVE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381596",
            "telephone_number": "740-532-1100",
            "fax_number": "740-534-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "COREY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016108",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COREY",
            "last_name": "MATTHEWS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ironton, OH

Sources for this page

Verify at the official NPI Registry.