MONTANA B JENSEN LMSW
NPI 1790496271
Social Worker in Fredericktown, MO
About Montana B Jensen Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONTANA B JENSEN LMSW (NPI 1790496271) is an individual social worker in Fredericktown, Missouri, licensed in Missouri (2025044483) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Montana B Jensen Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Montana Jensen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bonne Terre, MO 63628
- Reassigned Medicare billing, Missouri enrollment
- 8 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.
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 Montana Jensen's NPI number?
The NPI number for Montana Jensen is 1790496271. It was assigned to this individual provider in the NPPES registry on December 6, 2022.
Where is Montana Jensen located?
Montana Jensen practices at 504 Villar St, Fredericktown, MO 63645. The listed phone number is (573) 910-4311.
What is Montana Jensen's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Montana Jensen enrolled in Medicare?
Yes. Montana Jensen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Montana Jensen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Montana Jensen reassigns Medicare benefits to Bonne Terre Healthcare Clinic LLC (Bonne Terre, MO). The 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 Montana Jensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Montana Jensen was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Montana B Jensen, LMSW · NPI 1790496271
Social Worker provider in Fredericktown, Missouri. Individual provider, active in the CMS NPPES registry since December 6, 2022.
## Identity
- **NPI:** 1790496271 (Entity type: Individual)
- **Enumerated:** December 6, 2022
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 2025044483 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 504 VILLAR ST, Fredericktown, MO 63645-1042
- **Phone:** (573) 910-4311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Bonne Terre Healthcare Clinic LLC (NPI 1962043802, Bonne Terre, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790496271) · Data from the CMS NPPES public registry.