Individual provider Active NPI

Dana M. Bentley, NP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1811245640
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337337 Issued in NY
Practice address
89 Genesee St
Rochester, NY 14611-3201
Phone
(585) 368-6600
Fax
(585) 368-6622
NPI assigned
Aug 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 616031 NY
Family Nurse Practitioner 363LF0000X 337337 NY Primary

Addresses

Primary practice location

89 Genesee St
Rochester, NY 14611-3201

Mailing address

89 Genesee St
Rochester, NY 14611-3201
Phone (585) 368-6600

Other identifiers 1

IdentifierTypeStateIssuer
03491430MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbentley102621@direct.rochesterregional.org Direct

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20130812000089 NY Practitioner - Nurse Practitioner 1951543545 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
616031NYMDRegistered Nurse
337337NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Oct 28, 2012 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 28, 2012 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Urban Family Practice PC Family Past Accepting new patients

Locations

65 Genesee St
Rochester, NY 14611
Phone (585) 368-3531

81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6900

89 Genesee St
Rochester, NY 14611
Phone (585) 723-7000

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Interoperability endpoints

  • Direct secure messaging: dana.bentley.1@29290.direct.athenahealth.com
  • Direct secure messaging: dana.bentley@cinq-nyipa.medentdirect.com
  • Direct secure messaging: dbentley102621@direct.rochesterregional.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1811245640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 GENESEE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113201",
            "telephone_number": "585-368-6600",
            "fax_number": "585-368-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 GENESEE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113201",
            "telephone_number": "585-368-6600",
            "fax_number": "585-368-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "DANA",
        "middle_name": "M.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "616031",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03491430",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbentley102621@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "89 Genesee St",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146113201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.