KIMBERLY MENIQUE BENTLEY FNP-BC
NPI 1053018622
Nurse Practitioner - Family in Versailles, KY

Q: What is Kimberly Bentley's NPI number?

The NPI number for Kimberly Bentley is 1053018622. It was assigned to this individual provider in the NPPES registry on February 14, 2023.

Q: What is Kimberly Bentley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Bentley was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 14, 2023PECOS EnrolledAccepts Medicare Assignment

212 KROGER WAY, VERSAILLES, KY 40383(859) 297-1072(859) 297-1073 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 15, 2023, Feb 14, 2023 (2 updates tracked since 2023).

On this page

About Kimberly Menique Bentley Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY MENIQUE BENTLEY FNP-BC (NPI 1053018622) is an individual family provider in Versailles, Kentucky, licensed in Kentucky (3019026) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053018622

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY MENIQUE BENTLEYCredential: FNP-BC

Location Address212 KROGER WAYVersailles, KY 40383-1991

Mailing AddressPo Box 932958Cleveland, OH 44193-0028

Phone(859) 297-1072

Fax(859) 297-1073

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 14, 2023

Last NPPES UpdateApril 25, 20252 updates tracked since enumeration

NPPES CertifiedApril 25, 2025

✔ NPI 1053018622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3019026

Also ListedRegistered NurseTaxonomy 163W00000X · License 1112837 (KY)

212 KROGER WAY, Versailles, KY 40383

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Menique Bentley Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416322607

PECOS Enrollment IDI20230330002082

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Bentley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kiosk Medicine Kentucky LLC

51 mi

Family

3039 BRECKENRIDGE LN
Louisville, KY 40220

Reassigned Medicare billing, Kentucky enrollment
488 clinicians in this Medicare group

NPI 1205885035 (502) 451-4555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

36 services34 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

25 services25 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

21 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40383 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIOSK MEDICINE KENTUCKY LLC

Nurse Practitioner (Family)