NPIMap

Individual provider Active NPI

Jeremy Evans Jensen, MD

  • Surgery Physician
  • Great Falls, MT
National Provider Identifier
1881822583
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30013 Issued in MT
Practice address
400 13TH Ave S Ste 102
Great Falls, MT 59405-4300
Phone
(573) 882-4141
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 30013 MT Primary

Addresses

Primary practice location

400 13TH Ave S Ste 102
Great Falls, MT 59405-4300

Mailing address

PO Box 6010
Great Falls, MT 59406-6010
Phone (406) 731-8888

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjensen32236@benefishs.direct-ci.com Benefis Hospitals Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140630001886 MT Practitioner - General Surgery 9739313958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians

Practice addresses (Care Compare)

2800 11TH Ave S
Suite 20
Great Falls, MT 59405-5263
Phone (406) 455-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
62.64
Promoting interoperability
100
Improvement activities
40
Cost
80.67

Merit-based Incentive Payment System (MIPS)

Final score
23.41 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy99
Hernia repair (minimally invasive)18
Mastectomy11
Upper gastrointestinal (GI) endoscopy for acid reflux70
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30013MTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals Inc CurrentSince Jun 4, 2024 Accepting new patients
Great Falls Surgical Associates Surgery CurrentSince Jun 14, 2014 Accepting new patients
Benefis Hospitals, Inc. CurrentSince Jun 4, 2024 Accepting new patients
Benefis Hospitals, Inc. PastSince Mar 6, 2022 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

400 13th Ave S
Ste 103
Great Falls, MT 59405

2800 11th Ave S
Ste 20
Great Falls, MT 59405
Phone (406) 761-1534

400 13th Ave S
Ste 102
Great Falls, MT 59405
Phone (406) 452-0877

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1645 Vandelay Ave
Ste 301
Helena, MT 59601
Phone (406) 389-2520

1645 Vandelay Ave
Ste 201
Helena, MT 59601
Phone (406) 389-2505

Interoperability endpoints

  • Direct secure messaging: jjensen32236@benefishs.direct-ci.com

Organizations & group practices 5

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

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1881822583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6010",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594066010",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 13TH AVE S STE 102",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054300",
            "telephone_number": "573-882-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JEREMY",
        "middle_name": "EVANS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MT",
            "license": "30013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjensen32236@benefishs.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "400 13th Ave S Ste 102",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594054300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.