DALTON BENDER DNP, FNP-C
NPI 1053072561
Nurse Practitioner - Family in Detroit, MI

Q: What is Dalton Bender's NPI number?

The NPI number for Dalton Bender is 1053072561. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Q: What is Dalton Bender's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Dalton Bender was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 06, 2022PECOS EnrolledAccepts Medicare Assignment

2799 W GRAND BLVD, DETROIT, MI 48202(313) 282-0810 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2024, Jun 18, 2024, Jan 6, 2022 (3 updates tracked since 2022).

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About Dalton Bender Dnp, Fnp-c NPPES

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

DALTON BENDER DNP, FNP-C (NPI 1053072561) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704366072) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053072561

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDALTON BENDERCredential: DNP, FNP-C

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address1500 E Medical Center DrAnn Arbor, MI 48109-5000

Phone(313) 282-0810

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 6, 2022

Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration

NPPES CertifiedJuly 23, 2024

✔ NPI 1053072561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704366072

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704366072 (MI)

2799 W GRAND BLVD, Detroit, MI 48202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dalton Bender Dnp, Fnp-c 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 ID9830637057

PECOS Enrollment IDI20240819001839

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.

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

HENRY FORD HOSPITAL

General Acute Care Hospital