Individual provider Active NPI

Benjamin Pearce, NP

  • Nurse Practitioner
  • Folsom, CA
National Provider Identifier
1548882012
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95014354 Issued in CA
Practice address
2380 E Bidwell St
Folsom, CA 95630-3455
Phone
(916) 306-1112
Fax
(916) 618-4717
NPI assigned
May 7, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201207000377 CA Practitioner - Nurse Practitioner 1557772043 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Diagnostic & Solutions, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Spine & Nerve Diagnostic Center CurrentSince May 20, 2024 Accepting new patients
Spine & Nerve Diagnostic Center CurrentSince May 20, 2024 Accepting new patients
Advanced Pain Diagnostic & Solutions, Inc. CurrentSince Nov 1, 2020 Accepting new patients

Locations

2380 E Bidwell St
Folsom, CA 95630
Phone (916) 306-1112

729 Sunrise Ave
Ste 602
Roseville, CA 95661
Phone (916) 781-7882

729 Sunrise Ave
Ste 611
Roseville, CA 95661
Phone (916) 953-7571

1528 Eureka Rd
Ste 103
Roseville, CA 95661
Phone (916) 772-5325

650 Howe Ave
Ste 600
Sacramento, CA 95825
Phone (916) 953-7571

480 Del Norte Ave
Yuba City, CA 95991
Phone (916) 953-7571

Interoperability endpoints

  • Direct secure messaging: benjamin.pearce.p1@direct.apdss.nextgenshare.com
  • Direct secure messaging: bpearce640176@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95014354 CA Primary

Addresses

Primary practice location

2380 E Bidwell St
Folsom, CA 95630-3455

Mailing address

2380 E Bidwell St
Folsom, CA 95630-3455
Phone (916) 306-1112

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1548882012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303455",
            "telephone_number": "916-306-1112",
            "fax_number": "916-618-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303455",
            "telephone_number": "916-306-1112",
            "fax_number": "916-618-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "BENJAMIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.