Individual provider Active NPI

Maryann D. Bentley, RN, BSN, MSN

  • Family Nurse Practitioner
  • Mentor, OH
National Provider Identifier
1902196009
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024620 Issued in OH
Practice address
7072 Maple St
Mentor, OH 44060-4937
Phone
(440) 479-2977
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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 314670 OH
Family Nurse Practitioner 363LF0000X 024620 OH Primary

Addresses

Primary practice location

7072 Maple St
Mentor, OH 44060-4937

Mailing address

7072 Maple St.
Mentor, OH 44060
Phone (440) 479-2977

Other names 1

  • Miss Maryann D. Decola Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
314670OHMDRegistered Nurse
024620OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geropsych, Inc. CurrentSince Dec 18, 2020 Accepting new patients

Locations

151 Orchardview Rd
Ste 2B
Seven Hills, OH 44131
Phone (844) 779-2433

151 Orchardview Rd
Seven Hills, OH 44131
Phone (855) 437-6779

Organizations & group practices 1

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1902196009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7072 MAPLE ST.",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "440-479-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7072 MAPLE ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604937",
            "telephone_number": "440-479-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "MARYANN",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "314670",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYANN",
            "last_name": "DECOLA",
            "middle_name": "D.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.