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

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: October 18, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dalton Bender reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 577 clinicians in this Medicare group
Neonatal
15855 19 MILE RD
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 215 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Dalton Bender located?

Dalton Bender practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 282-0810.

What is Dalton Bender's specialty?

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

Is Dalton Bender enrolled in Medicare?

Yes. Dalton Bender is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Dalton Bender's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dalton Bender reassigns Medicare benefits to 2 organizations: Henry Ford Health System (Detroit, MI) and Henry Ford Macomb Hospital Corporation (Clinton Township, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dalton Bender's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dalton Bender accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Dalton Bender as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dalton Bender affiliated with any hospitals?

According to CMS data, Dalton Bender is affiliated with Henry Ford Health Hospital.

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.