MRS. JENNIFER LYNN BENDER-STAFFORD (FNP-BC) – Family Nurse Practitioner, NPI 1407114085
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for MRS. JENNIFER LYNN BENDER-STAFFORD (FNP-BC)
5810 Gratiot Rd Ste B
Saginaw, MI 486386063
Phone: (989) 790-3650
Fax: (989) 790-8630
Type: Location
9900 Birch Run Rd Ste D
Birch Run, MI 48415
Phone: (989) 624-1575
Fax: (989) 624-1507
Type: Location
PO BOX 779
TAWAS CITY, MI 487640779
Phone: (989) 624-1575
Fax: (989) 624-1507
Type: Mailing
9900 BIRCH RUN RD STE D
BIRCH RUN, MI 48415
Phone: (989) 624-1575
Fax: (989) 624-1507
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120924000563 | I | Nurse Practitioner | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48638)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MI | 11042 | Removal of skin and tissue first 20 sq cm or less | 135 | 51 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | TX | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| Pulmonary Disease, Critical Care (Intensivists) | MI | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Certified Registered Nurse Anesthetist (Crna) | LA |
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