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

Micca Lyn Bentley, FNP-C

Individual provider Family Nurse Practitioner · NPI 1609669308

Micca Lyn Bentley, FNP-C is a Nurse Practitioner in Andover, Kansas. Qualified in 2023, 3 years ago. Practices with Tanglewood Family Medical Center PA, a 9-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
3
Licensed in
KS
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

822 N Andover Rd
Andover, KS 67002-9527
Phone: (316) 247-5499
Fax: (316) 351-5965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53-84308-062 (KS)

Record details

NPI number1609669308
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 26, 2025
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Tanglewood Family Medical Center Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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