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MIRAMONT FAMILY MEDICINE
NPI 1215027107
Family Medicine in Ft Collins, CO

Active since October 13, 2006
4674 SNOW MESA DR, STE 140, FT COLLINS, CO 80528(970) 482-0213(970) 482-9646 Get Directions Write a Review

NPPES record last updated: March 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miramont Family Medicine NPPES

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

MIRAMONT FAMILY MEDICINE (NPI 1215027107) is a healthcare organization registered as a family medicine in Ft Collins, Colorado and active in the NPI registry since October 2006. The organization lists Teresa E Bender, Practice Admin, as its authorized official.

NPPES Registry Identity

NPI1215027107
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBENDER MEDICAL GROUP INC
Location Address4674 SNOW MESA DR, STE 140Ft Collins, CO 80528
Mailing Address4674 Snow Mesa Dr, Ste 140Ft Collins, CO 80528 · (970) 482-0213 · Fax (970) 482-9646
Phone(970) 482-0213
Fax(970) 482-9646
Organization SubpartNo
Authorized OfficialTeresa E BenderPractice Admin · (970) 482-0213
Enumeration DateOctober 13, 2006
Last NPPES UpdateMarch 5, 2013
✔ NPI 1215027107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CO · 32679✔ Licensed in CO · 42203✔ Licensed in CO · 45095✔ Licensed in CO · 27536✔ Licensed in CO · 40384✔ Licensed in CO · 21180✔ Licensed in CO · 31325✔ Licensed in CO · 46447
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 2790 (CO), 2589 (CO), 1082 (CO), 905 (CO)
Also ListedNurse PractitionerTaxonomy 363L00000X · License NP10339 (CO)
4674 SNOW MESA DR, Ft Collins, CO 80528
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Other Names 1

Doing Business AsMiramont Family Medicine

Other Identifiers 2

Other654282Bc/bs
Medicaid19930054CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miramont Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Miramont Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Family Practice10
Nurse Practitioner3
Preventive Medicine1
Psychiatry1

Clinicians, nearest first (15)

John Bender, M.D.
Family Practice
NPI 1609864065
4674 SNOW MESA DR SUITE 140
Fort Collins, CO 80528
(970) 482-0213
✔ PECOS✔ Accepts MedicareSame address
Samantha Davis, FNP-C
Nurse Practitioner
NPI 1346361599
4674 SNOW MESA DR STE 140
Fort Collins, CO 80528
(970) 225-5000
✔ PECOS✔ Accepts MedicareSame address
Juan Rodriguez, D.O.
Family Practice
NPI 1811987829
1136 E. STUART STREET BUILDING 3, SUITE 200
Fort Collins, CO 80525
(303) 338-4545
✔ PECOS✔ Accepts Medicare3.2 mi
Douglas Deyoung, DO
Family Practice
NPI 1811989064
313 W DRAKE RD
Fort Collins, CO 80526
(970) 482-8881
✔ PECOS✔ Accepts Medicare3.4 mi
Jason West, D.O.
Psychiatry
NPI 1962634923
1204 W ASH ST UNIT A
Windsor, CO 80550
(970) 236-7736
✔ PECOS✔ Accepts Medicare6.5 mi
Prema Jacob, MD
Family Practice
NPI 1487633533
3850 GRANT AVE SUITE 100
Loveland, CO 80538
(970) 776-1862
✔ PECOS✔ Accepts Medicare6.6 mi
Julie Deters, FNP
Nurse Practitioner
NPI 1861713075
2555 E 13TH ST SUITE 220
Loveland, CO 80537
(970) 669-5432
✔ PECOS✔ Accepts Medicare8.0 mi
Oscar Sanders
Preventive Medicine
NPI 1487804068
6767 W 29TH STREET
Greeley, CO 80634
(970) 652-2474
✔ PECOS16 mi
Bryan Reichert, MD
Family Practice
NPI 1316174022
1600 FISH HATCHERY RD
Estes Park, CO 80517
(970) 586-4491
✔ PECOS30 mi
Kelly Lowther, MD
Family Practice
NPI 1871666172
1500 N GRANT ST STE N
Denver, CO 80203
(970) 980-7235
✔ PECOS54 mi
Janice Weixelman, DO
Family Practice
NPI 1447225180
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare55 mi
Carolynn Francavilla Brown, MD
Family Practice
NPI 1568753739
200 UNION BLVD ST 311
Lakewood, CO 80228
(303) 566-7170
✔ PECOS✔ Accepts Medicare56 mi
Lisa Hammond, NP-C
Nurse Practitioner
NPI 1124360771
9251 TWENTY MILE ROAD
Parker, CO 80134
(970) 225-5000
✔ PECOS68 mi
Donald Dickman, MD
Family Practice
NPI 1205832433
9251 TWENTY MILE ROAD
Parker, CO 80134
(970) 225-5000
✔ PECOS✔ Accepts Medicare69 mi
Ted Lin, MD
Family Practice
NPI 1518092683
11511 NE 10TH ST
Bellevue, WA 98004
(425) 502-3000
✔ PECOS✔ Accepts Medicare981 mi

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

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 Bender Medical Group Inc's NPI number?

The NPI number for Bender Medical Group Inc is 1215027107. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider is doing business as Miramont Family Medicine.

Where is Bender Medical Group Inc located?

Bender Medical Group Inc is located at 4674 Snow Mesa Dr Ste 140, Ft Collins, CO 80528. The listed phone number is (970) 482-0213.

What is Bender Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bender Medical Group Inc enrolled in Medicare?

Yes. Bender Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bender Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Bender Medical Group Inc. A 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 the clinician's services. The largest specialties are Family Practice (10), Nurse Practitioner (3) and Preventive Medicine (1). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bender Medical Group Inc was last updated on March 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.