Individual provider Active NPI

Rachel Benjamin, APRN

  • Family Nurse Practitioner
  • Salem, IL
National Provider Identifier
1114591880
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209022634 Issued in IL
Practice address
1201 Ricker Rd
Salem, IL 62881-4263
Phone
(618) 900-1070
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209022634 IL Primary

Addresses

Primary practice location

1201 Ricker Rd
Salem, IL 62881-4263

Mailing address

PO Box 160
Troy, IL 62294-0160

Other practice location 1

650 W Taylor St
Vandalia, IL 62471-1227
Phone (618) 283-1231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006002705 IL Practitioner - Nurse Practitioner 6406254374 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Township HospitalGroup PAC ID 0840195277, shared by 4 NPIs, 26 clinicians

Practice addresses (Care Compare)

1201 Ricker Rd
Salem, IL 62881-4263
Phone 61854831948188

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209022634ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Feb 23, 2026 Accepting new patients
Jersey Community Hospital Current Accepting new patients
Jersey Community Hospital CurrentSince Nov 28, 2021 Accepting new patients
K and L Medical, LLC CurrentSince Sep 2, 2021 Accepting new patients
Jersey Community Hospital CurrentSince Nov 28, 2021 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Feb 23, 2026 Accepting new patients
Salem Township Hospital Past Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231

Interoperability endpoints

  • Direct secure messaging: rachel.benjamin.1@22727.direct.athenahealth.com
  • FHIR API: https://ssproxy.osfhealthcare.org/fhir-proxy/api/FHIR/R4

Organizations & group practices 8

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 3

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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1114591880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622940160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 RICKER RD",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628814263",
            "telephone_number": "618-900-1070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Vandalia",
            "state": "IL",
            "postal_code": "624711227",
            "country_code": "US",
            "telephone_number": "618-283-1231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "RACHEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IL

Sources for this page

Verify at the official NPI Registry.