MICCA LYN BENTLEY FNP-C
NPI 1609669308
Nurse Practitioner - Family in Andover, KS

Q: What is Micca Bentley's NPI number?

The NPI number for Micca Bentley is 1609669308. It was assigned to this individual provider in the NPPES registry on May 26, 2025.

Q: What is Micca 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 Micca Bentley was last updated on January 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 26, 2025PECOS EnrolledAccepts Medicare Assignment

822 N ANDOVER RD, ANDOVER, KS 67002(316) 247-5499(316) 351-5965 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 5, 2026, May 26, 2025 (2 updates tracked since 2025).

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About Micca Lyn Bentley Fnp-c NPPES

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

MICCA LYN BENTLEY FNP-C (NPI 1609669308) is an individual family provider in Andover, Kansas, licensed in Kansas (53-84308-062) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Kansas Medical Center Llc, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609669308

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICCA LYN BENTLEYCredential: FNP-C

Location Address822 N ANDOVER RDAndover, KS 67002-9527

Mailing Address822 N Andover RdAndover, KS 67002-9527 · (316) 247-5499 · Fax (316) 351-5965

Phone(316) 247-5499

Fax(316) 351-5965

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 26, 2025

Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1609669308 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 KS · 53-84308-062

822 N ANDOVER RD, Andover, KS 67002

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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

Micca Lyn Bentley Fnp-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.

PECOS PAC ID5799261079

PECOS Enrollment IDI20260107002513

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.

Hospital Affiliations CMS Care Compare

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

Kansas Medical Center LLC

Acute Care Hospitals · Andover, KS

3/5 CMS rating

OwnershipProprietary

CMS Certification Number170197

Location1124 West 21st StreetAndover, KS 67002 · Butler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67002 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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 9

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

MERCY HOME CARE LLC

Home Health