DR. BENTLEY JESSICA MAE THOMASON MD
NPI 1699112482
Family Medicine in Shawano, WI

Active since June 03, 2013PECOS EnrolledAccepts Medicare Assignment
100 COUNTY ROAD B, SHAWANO, WI 54166(715) 524-2161 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2022, Apr 7, 2021, Dec 19, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Bentley Jessica Mae Thomason Md NPPES

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

DR. BENTLEY JESSICA MAE THOMASON MD (NPI 1699112482) is an individual family medicine provider in Shawano, Wisconsin, licensed in Wisconsin (76345) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains a secondary practice location in Jerome.

NPPES Registry Identity

NPI1699112482
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BENTLEY JESSICA MAE THOMASONCredential: MD
Location Address100 COUNTY ROAD BShawano, WI 54166-7072
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (715) 524-2161 · Fax (715) 524-8164
Sole ProprietorNo
Medical School CMSIrvine California College Of MedicineGraduated 2013
Enumeration DateJune 3, 2013
Last NPPES UpdateJanuary 4, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
✔ NPI 1699112482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 76345✔ Licensed in CA · A133000✔ Licensed in ID · M-13560
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 76345 (WI)
100 COUNTY ROAD B, Shawano, WI 54166

Other Names 1

Former Name (1)Dr. Jessica Mae Bentley Md

Secondary Practice Location 1

Location 1218 W Nez PerceJerome, ID 83338-5193 · Phone (208) 324-3471

Accepted Insurance

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

Dr. Bentley Jessica Mae Thomason Md 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 ID7618258526
PECOS Enrollment IDI20220112001007
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 Reassignments

4

Medicare enrollment records show Bentley Thomason reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
100 COUNTY ROAD B
Shawano, WI 54166
  • Reassigned Medicare billing, Wisconsin enrollment
  • 70 clinicians in this Medicare group
Family Medicine
1405 MILL ST
New London, WI 54961
  • Reassigned Medicare billing, Wisconsin enrollment
  • 988 clinicians in this Medicare group
Critical Access
601 GROVE AVE
Wild Rose, WI 54984
  • Reassigned Medicare billing, Wisconsin enrollment
  • 28 clinicians in this Medicare group
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 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.

Areas of Expertise CMS Part B claims

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.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521346
Location100 County Rd BShawano, WI 54166 · Shawano County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54166 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Pharmacy (Community/Retail Pharmacy)
100 COUNTY ROAD B
SHAWANO, WI 54166
Surgery
100 COUNTY ROAD B
SHAWANO, WI 54166
Family Medicine
100 COUNTY ROAD B
SHAWANO, WI 54166
Occupational Therapist
100 COUNTY ROAD B
SHAWANO, WI 54166
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Physician Assistant
100 COUNTY ROAD B
SHAWANO, WI 54166

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 Bentley Thomason's NPI number?

The NPI number for Bentley Thomason is 1699112482. It was assigned to this individual provider in the NPPES registry on June 3, 2013. The provider is also known as Dr. Jessica Mae Bentley MD.

Where is Bentley Thomason located?

Bentley Thomason practices at 100 County Road B, Shawano, WI 54166. The listed phone number is (715) 524-2161.

What is Bentley Thomason's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bentley Thomason enrolled in Medicare?

Yes. Bentley Thomason 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 organizations bill Medicare for Bentley Thomason's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bentley Thomason reassigns Medicare benefits to 4 organizations: Thedacare Medical Center - Shawano, Inc. (Shawano, WI), Thedacare, Incorporated (New London, WI), Thedacare Medical Center - Wild Rose, Inc (Wild Rose, WI) and Multicare Health System (Spokane Valley, WA). Each 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 Bentley Thomason's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bentley Thomason accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 4 other insurers list Bentley Thomason 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.

Is Bentley Thomason affiliated with any hospitals?

According to CMS data, Bentley Thomason is affiliated with Thedacare Regional Med Ctr - Neenah and Thedacare Medical Center - Shawano.

When was this NPI record last updated?

The NPPES record for Bentley Thomason was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.