Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob David Bentley, MD

Individual provider Family Medicine Physician · NPI 1720668692

Jacob David Bentley, MD is a Family Practice in LA Crosse, Wisconsin. Qualified in 2021, 5 years ago. Practices with Saint Elizabeths Hospital of Wabasha Inc, a 92-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
5
Licensed in
MN, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 81583 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 75255 (MN)

Record details

NPI number1720668692
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2021
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024
Mailing address1836 South Ave, La Crosse, WI 54601-5429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Saint Elizabeths Hospital Of Wabasha Inc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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