MRS. YUDELKY TEREZA BENTLEY NP-C
NPI 1124660659
Nurse Practitioner - Family in Stockbridge, GA
About Mrs. Yudelky Tereza Bentley Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. YUDELKY TEREZA BENTLEY NP-C (NPI 1124660659) is an individual family provider in Stockbridge, Georgia, licensed in Georgia (RN165381) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Mrs. Yudelky Tereza Bentley Np-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Yudelky Bentley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STOCKBRIDGE, GA 30281
STOCKBRIDGE, GA 30281
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Yudelky Bentley's NPI number?
The NPI number for Yudelky Bentley is 1124660659. It was assigned to this individual provider in the NPPES registry on October 16, 2019.
Where is Yudelky Bentley located?
Yudelky Bentley practices at 1070 Eagles Landing Pkwy, Stockbridge, GA 30281. The listed phone number is (678) 718-8403.
What is Yudelky Bentley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Yudelky Bentley enrolled in Medicare?
Yes. Yudelky Bentley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Yudelky Bentley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yudelky Bentley reassigns Medicare benefits to Fusion Health And Wellness Corp (Stockbridge, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yudelky Bentley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Yudelky Bentley was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Mrs. Yudelky Tereza Bentley, NP-C · NPI 1124660659
Family physician in Stockbridge, Georgia. Individual provider, active in the CMS NPPES registry since October 16, 2019.
## Identity
- **NPI:** 1124660659 (Entity type: Individual)
- **Enumerated:** October 16, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN165381 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1070 EAGLES LANDING PKWY, Stockbridge, GA 30281-5012
- **Phone:** (678) 718-8403
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Fusion Health And Wellness Corp (NPI 1104774884, Stockbridge, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124660659) · Data from the CMS NPPES public registry.