MEDICARE: MAUREEN BENTLEY PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN.0996362-NP	CO
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	CNP-03222	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932511730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN BENTLEY PMHNP-BC

Provider Business Mailing Address
First Line	:	6566 N MARKSHEFFEL RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-4252
Country	:	US
Telephone Number	:	719-297-7646
Fax Number	:	719-419-7953

Provider Business Practice Location Address
First Line	:	6566 N MARKSHEFFEL RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-4252
Country	:	US
Telephone Number	:	719-297-7646
Fax Number	:	719-419-7953

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2014
Last Update Date	:	02/09/2026

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