NICOLE LEE BENTLEY M.D.
NPI 1629423967
Pediatrics in Cedar Falls, IA

Active since April 24, 2016PECOS Enrolled
5100 PRAIRIE PKWY STE 203, CEDAR FALLS, IA 50613(319) 222-2903(319) 222-2993 Get Directions Write a Review

NPPES record last updated: June 30, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 30, 2017, Dec 30, 2016 (2 updates tracked since 2016).

About Nicole Lee Bentley M.d. NPPES

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

NICOLE LEE BENTLEY M.D. (NPI 1629423967) is an individual pediatrics provider in Cedar Falls, Iowa, licensed in Iowa (MD-46258) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1629423967
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNICOLE LEE BENTLEYCredential: M.D.
Location Address5100 PRAIRIE PKWY STE 203Cedar Falls, IA 50613
Mailing Address5100 Prairie Pkwy Ste 203Cedar Falls, IA 50613-8155 · (319) 222-2903 · Fax (319) 222-2993
Fax(319) 222-2993
Sole ProprietorNo
Enumeration DateApril 24, 2016
Last NPPES UpdateJune 30, 20192 updates tracked since enumeration
✔ NPI 1629423967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IA · MD-46258✔ Licensed in WI · 68391-20
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5100 PRAIRIE PKWY STE 203, Cedar Falls, IA 50613

Other Names 1

Former Name (1)Nicole Lee Goodale

Secondary Practice Location 1

Location 1600 Highland AveMadison, WI 53792-0001 · Phone (608) 263-6400

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Lee Bentley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nicole Bentley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
8101 BIRCHWOOD CT, SUITE N
Johnston, IA 50131
  • Reassigned Medicare billing, Iowa enrollment
  • 1,506 clinicians in this Medicare group

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 50613 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $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

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

Nurse Practitioner (Pediatrics)
5100 PRAIRIE PKWY STE 203
CEDAR FALLS, IA 50613

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 Nicole Bentley's NPI number?

The NPI number for Nicole Bentley is 1629423967. It was assigned to this individual provider in the NPPES registry on April 24, 2016. The provider is also known as Nicole Lee Goodale.

Where is Nicole Bentley located?

Nicole Bentley practices at 5100 Prairie Pkwy Ste 203, Cedar Falls, IA 50613. The listed phone number is (319) 222-2903.

What is Nicole Bentley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicole Bentley enrolled in Medicare?

Yes. Nicole Bentley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Bentley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Bentley reassigns Medicare benefits to Iowa Physicians Clinic Medical Foundation (Johnston, IA). 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 Nicole Bentley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Bentley accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Nicole Bentley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Bentley was last updated on June 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.