NONE
NPI 1356390736
Specialist in Bozeman, MT
About None NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NONE (NPI 1356390736) is a healthcare organization registered as a specialist in Bozeman, Montana and active in the NPI registry since May 2006. The organization lists Jessicalee Fandrich, Credentialing Manger, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
None is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to None, which bills Medicare for the services they deliver. Of these, 11 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (15)
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 Intercity Radiology, PC's NPI number?
The NPI number for Intercity Radiology, PC is 1356390736. It was assigned to this organization in the NPPES registry on May 10, 2006.
Where is Intercity Radiology, PC located?
Intercity Radiology, PC is located at 1648 Ellis St Ste 201, Bozeman, MT 59715. The listed phone number is (406) 587-8631.
What is Intercity Radiology, PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Intercity Radiology, PC enrolled in Medicare?
Yes. Intercity Radiology, PC is registered in the Medicare PECOS enrollment system.
When is Intercity Radiology, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Intercity Radiology, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Intercity Radiology, PC. 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 Diagnostic Radiology (12) and Interventional Radiology (3). Of these, 11 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Intercity Radiology, PC accept?
Health plans from Blue Cross and Blue Shield of Montana list Intercity Radiology, PC 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.
When was this NPI record last updated?
The NPPES record for Intercity Radiology, PC was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# None · NPI 1356390736
Specialist organization in Bozeman, Montana. Organization record, active in the CMS NPPES registry since May 10, 2006.
## Identity
- **NPI:** 1356390736 (Entity type: Organization)
- **Enumerated:** May 10, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Intercity Radiology, Pc
- **Organization subpart:** No
- **Authorized official:** Jessicalee Fandrich, CREDENTIALING MANGER
## Practice location
- **Address:** 1648 ELLIS ST STE 201, Bozeman, MT 59715-8811
- **Phone:** (406) 587-8631 · **Fax:** (406) 587-1343
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Illinois, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 15 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (12), Interventional Radiology (3); 11 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1356390736) · Data from the CMS NPPES public registry.