JACLYN MARIE BENDER DO
NPI 1811420334
Pediatrics in Bozeman, MT

Q: What is Jaclyn Bender's NPI number?

The NPI number for Jaclyn Bender is 1811420334. It was assigned to this individual provider in the NPPES registry on April 11, 2017. The provider is also known as Jaclyn Marie Peick.

Q: What is Jaclyn Bender's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Bender was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 11, 2017PECOS Enrolled

937 HIGHLAND BLVD STE 5320, BOZEMAN, MT 59715(406) 414-5000 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 23, 2026, Sep 27, 2024, Aug 4, 2022 and 3 more (6 updates tracked since 2017).

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About Jaclyn Marie Bender Do NPPES

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

JACLYN MARIE BENDER DO (NPI 1811420334) is an individual pediatrics provider in Bozeman, Montana, licensed in Montana (MED-PHYS-LIC-162037) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811420334

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJACLYN MARIE BENDERCredential: DO

Location Address937 HIGHLAND BLVD STE 5320Bozeman, MT 59715-6916

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-4400

Phone(406) 414-5000

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 11, 2017

Last NPPES UpdateJanuary 23, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2026

✔ NPI 1811420334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MT · MED-PHYS-LIC-162037✔ Licensed in MN · 30050✔ Licensed in MN · 71262

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

937 HIGHLAND BLVD STE 5320, Bozeman, MT 59715

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Other Names 1

Former Name (1)Jaclyn Marie Peick

Secondary Practice Locations 3

Location 12450 Riverside Ave # Ao-102Minneapolis, MN 55454-1450 · Phone (612) 624-3113

Location 22925 Chicago AveMinneapolis, MN 55407-1321 · Phone (612) 863-4000 · Fax (763) 236-3026

Location 31665 Utica Ave SSt Louis Park, MN 55416-3474 · Phone (952) 541-2500

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Jaclyn Marie Bender Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416335047

PECOS Enrollment IDI20251126000000

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

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

Bozeman Health Deaconess Hospital

0.1 mi

Emergency Medicine

915 HIGHLAND BLVD
Bozeman, MT 59715

Reassigned Medicare billing, Montana enrollment
402 clinicians in this Medicare group

NPI 1437529112 (406) 414-5000

Group Health, Inc.

813 mi

Health Service

430 GREAT OAK DRIVE
Waite Park, MN 56387

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1457836454 (320) 203-2400

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59715 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE RONA STARR M.D.

Pediatrics