Jaclyn Marie Bender, DO
NPI 1811420334ActiveIndividual· Pediatrics· Bozeman, MT
Pediatrics (DO) in Bozeman, Montana, licensed in MT and MN, with an NPI issued in April 2017. Enrolled in Medicare as practitioner - pediatric medicine and practitioner - pediatric medicine.
Overview
| NPI | 1811420334 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | Yes |
| NPI issued | Apr 11, 2017 |
| Last updated in NPPES | Jan 23, 2026 |
| Certified by provider | Jan 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | MED-PHYS-LIC-162037 | MT |
| Pediatrics | 208000000X | 30050 | MN |
| Pediatrics | 208000000X | 71262 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (MN); Practitioner - Pediatric Medicine (MT) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Pediatric Medicine |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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