MICHELE LEE BENTOSKI
NPI 1356856652
Nurse Practitioner - Family in Jacksonville, TX

Q: What is Michele Bentoski's NPI number?

The NPI number for Michele Bentoski is 1356856652. It was assigned to this individual provider in the NPPES registry on December 8, 2017.

Q: What is Michele Bentoski'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 Michele Bentoski was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 December 08, 2017PECOS EnrolledAccepts Medicare Assignment

2026 S JACKSON ST, JACKSONVILLE, TX 75766(903) 586-5678 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2025, Feb 6, 2024, Mar 23, 2018 and 2 more (5 updates tracked since 2017).

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About Michele Lee Bentoski NPPES

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

MICHELE LEE BENTOSKI (NPI 1356856652) is an individual family provider in Jacksonville, Texas, licensed in Texas (AP135239) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356856652

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELE LEE BENTOSKI

Location Address2026 S JACKSON STJacksonville, TX 75766-5822

Mailing Address2026 S Jackson StJacksonville, TX 75766-5822

Phone(903) 586-5678

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateDecember 8, 2017

Last NPPES UpdateMay 20, 20255 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1356856652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP135239

2026 S JACKSON ST, Jacksonville, TX 75766

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12116 E Rusk StJacksonville, TX 75766-9052 · Phone (903) 541-4545

Location 220208 State Highway 155 SFlint, TX 75762-5600 · Phone (903) 541-4545

Other Identifiers 4

OtherP01975553TX · Medicare Rail Road

Medicaid380017901TX

Other628116YS6VTX · Medicare

Other8HV913TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michele Lee Bentoski 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 ID5395005011

PECOS Enrollment IDI20180129000310

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.

Areas of Expertise CMS Part B claims 3

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

332 services228 patients

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.

298 services230 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Christus Mother Frances Hospital- Jacksonville

Critical Access Hospitals · Jacksonville, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451319

Location2026 S Jackson StreetJacksonville, TX 75766 · Cherokee County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75766 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

DR. AMANDA NICOLE LONG D.O.

Internal Medicine (Endocrinology, Diabetes & Metabolism)