Mica T. Bentley, APRN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN73471-NP-C Issued in WV

Practice address

501 Morris St
Suite 357
Charleston, WV 25301-1326

Phone

(304) 388-3574

Fax

(304) 388-6481

NPI assigned

Jun 29, 2016

Sex

Female

Sole proprietor

No

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 WV, OH, VA, PA, MD, IN, DC, KY, DE9 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 9

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians

Post Acute Telehealth PCGroup PAC ID 9638585391, 63 clinicians

Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

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.

• Post Acute Telehealth PC

  • Family Medicine Physician
  • Blue Ash, OH
  • NPI 1164011185

  DC, IN, MD, PA, VA, WV

  Medicare reassignment Care Compare group NPD
• Recover Together, Inc.

  dba Groups Recover Together

  • Adult Mental Health Clinic/Center
  • London, KY
  • NPI 1346736758

  Family, WV

  Medicare reassignment Care Compare group NPD
• Daniel Funsch Jr, M.D., P.C.

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1316784580

  DE, MD, OH, PA, WV

  Medicare reassignment Care Compare group
• St. Mary's Medical Management, LLC

  • Family Medicine Physician
  • Huntington, WV
  • NPI 1922155217
  Medicare reassignment NPD
• Valley Emergency Physicians Ohio LLC

  • Emergency Medicine Physician
  • Ironton, OH
  • NPI 1528342961
  Medicare reassignment NPD
• Dr Rebman Medical PA

  • Family Medicine Physician
  • Miami, FL
  • NPI 1669276689

  DE, IN, KY, MD, OH, PA, VA, WV

  Medicare reassignment
• Ivy Medical Group PLLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1700558798

  DE, KY, MD, PA, VA

  Medicare reassignment
• St. Mary's Medical Management, LLC

  • Orthopaedic Surgery Physician
  • Huntington, WV
  • NPI 1205596665

  Family

  NPD

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1760833966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MORRIS ST",
            "address_2": "SUITE 357",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011326",
            "telephone_number": "304-388-3574",
            "fax_number": "304-388-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MORRIS ST",
            "address_2": "SUITE 357",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011326",
            "telephone_number": "304-388-3574",
            "fax_number": "304-388-6481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 1st Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021236",
            "country_code": "US",
            "telephone_number": "304-399-7530",
            "fax_number": "304-399-7532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "MICA",
        "middle_name": "T.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN73471-NP-C",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "73471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarita Bennett
• Rebecca Bennington
• Benson Counseling of WV LLC
• Tonya Benson
• Marissa Bentley
• Rena Bentley
• Anna Kathleen Benton, DO
• Skylar Beohm
• Kenneth B Berdine, R.PH.
• Garry Berg

• Family Nurse Practitioner in Charleston, WV
• Providers in Charleston, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.