JENNIFER LYN GRAVOS-BAUER DPM
NPI 1679138242
Podiatrist - Foot & Ankle Surgery in Sidney, MT

Q: What is Jennifer Gravos-bauer's NPI number?

The NPI number for Jennifer Gravos-bauer is 1679138242. It was assigned to this individual provider in the NPPES registry on May 8, 2019.

Q: What is Jennifer Gravos-bauer's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since May 08, 2019PECOS Enrolled

216 14TH AVE SW, SIDNEY, MT 59270(406) 488-2100 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2023, Jul 16, 2022, May 8, 2019 (3 updates tracked since 2019).

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About Jennifer Lyn Gravos-bauer Dpm NPPES

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

JENNIFER LYN GRAVOS-BAUER DPM (NPI 1679138242) is an individual foot & ankle surgery provider in Sidney, Montana, licensed in Montana (MED-POD-LIC-114092) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Sheridan Memorial Hosptial, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1679138242

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameJENNIFER LYN GRAVOS-BAUERCredential: DPM

Location Address216 14TH AVE SWSidney, MT 59270-3519

Mailing Address216 14th Ave SwSidney, MT 59270-3519

Phone(406) 488-2100

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 8, 2019

Last NPPES UpdateAugust 21, 20233 updates tracked since enumeration

NPPES CertifiedAugust 21, 2023

✔ NPI 1679138242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in MT · MED-POD-LIC-114092

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

216 14TH AVE SW, Sidney, MT 59270

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lyn Gravos-bauer Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496130247

PECOS Enrollment IDI20220915001440

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 Reassignment

Medicare enrollment records show Jennifer Gravos-bauer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sidney Health Center

Same address

Critical Access

216 14TH AVE SW
Sidney, MT 59270

Reassigned Medicare billing, Montana enrollment
Also billed through NPI 1568532802 (Montana)
211 clinicians in this Medicare group

NPI 1285719161 (406) 488-2100

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Sheridan Memorial Hosptial

Critical Access Hospitals · Plentywood, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271322

Location440 W Laurel AvePlentywood, MT 59254 · Sheridan County

Emergency services

Sidney Health Center

Critical Access Hospitals · Sidney, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number271344

Location216 14th Ave SWSidney, MT 59270 · Richland County

Emergency services Birthing friendly

Chi St Alexius Health Williston

Critical Access Hospitals · Williston, ND

OwnershipVoluntary non-profit - Church

CMS Certification Number351334

Location1301 15th Ave WWilliston, ND 58801 · Williams County

Emergency services Birthing friendly

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.

ADAM HYDE MILTON CRNA

Nurse Anesthetist, Certified Registered