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Dr. Jaclyn Marie Bender , DO

Pediatrics β€’ Bozeman, MT

Active NPI 1811420334 Individual Practitioner Female Practitioner
Practice location in NPPES

937 Highland Blvd Ste 5320
Bozeman, MT 597156916

Call 4064145000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

937 Highland Blvd Ste 5320

Bozeman, MT 597156916

Telephone 4064145000
Organization at the Same NPPES Address or Phone
Leightnup Psychology Services Pc Facility NPI 1891116117

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Minneapolis, MN; St Louis Park, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Bender has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Bender as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bozeman and Montana

23 active clinicians are listed under Pediatrics with a practice address in Bozeman, MT (155 in Montana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bozeman

0% of these 23 clinicians have the CMS telehealth indicator.

8.7% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MT MED-PHYS-LIC-162037

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MN 30050

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MN 71262

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Montana State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20251126000000

Enrollment State Jurisdiction

MT

PECOS Control ID

7416335047

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1665 Utica Ave S

St Louis Park, MN 554163474

Phone: 9525412500

2925 Chicago Ave

Minneapolis, MN 554071321

Phone: 6128634000

2450 Riverside Ave # Ao-102

Minneapolis, MN 554541450

Phone: 6126243113

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Stephanie Abraham , MD

Emergency Medicine

NPI 1306135785

Doctor of Medicine (M.D.)

Dr. Adeola Adelayo , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1205996907

Doctor of Medicine (M.D.)

Kristen Anderson , PA

Physician Assistant - Medical

NPI 1962891036

Physician Assistant

Dr. Bret Birrer , MD

Emergency Medicine

NPI 1902069131

Doctor of Medicine (M.D.)

Dr. Melissa Blixt , DNP, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1588179873

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

NPI 1073650511

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location January 23, 2026

Registered at 937 HIGHLAND BLVD STE 5320, BOZEMAN, MT 597156916 (Tel: 4064145000)

πŸ“
Updated Practice Location September 27, 2024

Registered at 1665 UTICA AVE S, ST LOUIS PARK, MN 554163474 (Tel: 9525412500)

πŸ“
Updated Practice Location April 21, 2022

Registered at 2925 CHICAGO AVE, MINNEAPOLIS, MN 554071321 (Tel: 6128634000)

πŸ“
Updated Business Mailing Address April 21, 2022

Registered at 2925 CHICAGO AVE, MINNEAPOLIS, MN 554071321 (Tel: 6122624400)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2022

Pediatrics (license number reported to NPPES: MN 30050)

πŸ“
Updated Practice Location January 01, 2022

Registered at 2450 RIVERSIDE AVE # AO-102, MINNEAPOLIS, MN 554541450 (Tel: 6126243113)

πŸ“
Updated Business Mailing Address January 01, 2022

Registered at 2450 RIVERSIDE AVE # AO-102, MINNEAPOLIS, MN 554541450 (Tel: 6126243113)

πŸ‘€
Provider Name / Credentials Updated January 01, 2022

Recorded as JACLYN BENDER, DO

βœ…
NPI Profile Active April 11, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 11, 2017

Registered at 200 MULLINS DR, LEBANON, OR 973553983 (Tel: 6514915592)

πŸ“
Business Mailing Address (Initial Record) April 11, 2017

Registered at 200 MULLINS DR, LEBANON, OR 973553983 (Tel: 6514915592)

πŸ‘€
Provider Name / Credentials (Initial Record) April 11, 2017

Recorded as JACLYN PEICK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 11, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811420334
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2017
Last Update: January 23, 2026
Sole Proprietor: Yes

Other Pediatrics Specialists in Bozeman

Healthcare providers in Bozeman

Mailing Address

2925 Chicago Ave

Minneapolis, MN 554071321

Phone: 6122624400

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.