Jennifer Lyn Gravos-Bauer, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MED-POD-LIC-114092 Issued in MT

Practice address

216 14TH Ave SW
Sidney, MT 59270-3519

Phone

(406) 488-2100

NPI assigned

May 8, 2019

Last updated

Aug 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Sidney Health CenterGroup PAC ID 0749181535, shared by 6 NPIs, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sidney Health Center Hospital, Sidney, MT, CCN 271344
• Sheridan Memorial Hosptial Hospital, Plentywood, MT, CCN 271322

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sidney Health Center

  • Critical Access Hospital
  • Sidney, MT
  • NPI 1285719161
  Medicare reassignment NPD
• Sidney Health Center

  dba Sidney Health Center Clinic

  • Clinic/Center
  • Sidney, MT
  • NPI 1376617191

  Foot & Ankle Surgery

  Medicare reassignment NPD
• Sidney Health Center

  dba Clinic Pharmacy

  • Community/Retail Pharmacy
  • Sidney, MT
  • NPI 1497743959
  NPD
• Sidney Health Center

  • Emergency Care Clinic/Center
  • Sidney, MT
  • NPI 1568532802
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Sidney Health Center

  dba Sidney Health Center Hospice

  • Community Based Hospice Care Agency
  • Sidney, MT
  • NPI 1932160413
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sheridan Memorial Hospital Association

  • Critical Access Hospital
  • Plentywood, MT
  • NPI 1255362851
  Care Compare affiliation
• Sheridan Memorial Hospital Association

  • Critical Access Hospital
  • Plentywood, MT
  • NPI 1467452102
  Care Compare affiliation
• Sidney Health Center

  • Critical Access Hospital
  • Sidney, MT
  • NPI 1285719161
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1679138242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 14TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 14TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703519",
            "telephone_number": "406-488-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVOS-BAUER",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MT",
            "license": "MED-POD-LIC-114092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fink Family Chiropractic P.C.
• Michael William Fink, D.C.
• Richard Leroy Fink, DMD
• Aaron John Franke, M.D.
• Ellen Sue Goodnature, LCPC
• Watson Mark Gutowski, M.D., F.A.A.P., FACS
• Mandy Hall, MS
• Robert E Hardy, M.D.
• Deborah G Harris, D.O.
• Healthy Smiles Dental Group

• Foot & Ankle Surgery Podiatrist in Sidney, MT
• Providers in Sidney, MT by specialty
• Foot & Ankle Surgery Podiatrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.