Individual provider Active NPI

Benjamin John Caudill, RN, MSN, FNP-C

  • Nurse Practitioner
  • Moreno Valley, CA
National Provider Identifier
1871140772
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95013310 Issued in CA
Practice address
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone
(714) 418-3393
NPI assigned
Aug 25, 2019
Last updated
May 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95013310 CA Primary
Critical Care Medicine Registered Nurse 163WC0200X 95032060 CA

Addresses

Primary practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Mailing address

PO Box 685
Colton, CA 92324-0685
Phone (714) 418-3393

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
I20210914000693 CA Practitioner - Nurse Practitioner 2466858626 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Faculty Medical Group IncGroup PAC ID 9436253515, 76 clinicians
California Neurointerventional Surgeons, IncGroup PAC ID 2668717125, 8 clinicians

Practice addresses (Care Compare)

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 656-1500

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (951) 338-4910

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.34 of 100Reported as group
Quality
84.11
Promoting interoperability
96
Improvement activities
40
Cost
77.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95032060CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Faculty Medical Group Inc CurrentSince Jan 24, 2023 Accepting new patients
Cep America - Neurology PC CurrentSince Nov 1, 2021 Accepting new patients
Cep America - Neurology PC Current Accepting new patients
Cep America - Neurology PC CurrentSince Nov 1, 2021 Accepting new patients
Apple Urgent Care, Inc CurrentSince Jan 1, 2023 Accepting new patients
Apple Urgent Care, Inc CurrentSince Jan 1, 2023 Accepting new patients
California Neurointerventional Surgeons, Inc CurrentSince May 6, 2024 Accepting new patients
Arrowhead Neurosurgical Medical Group, Inc. PastSince Jan 19, 2020 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1207 E Florida Ave
Hemet, CA 92543
Phone (951) 925-2523

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

25970 Iris Ave
Ste 3B
Moreno Valley, CA 92551
Phone (951) 924-2775

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

700 E Redlands Blvd
Ste 714
Redlands, CA 92373

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

Interoperability endpoints

  • Direct secure messaging: bcaudill283798@direct.llu.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1566691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1871140772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 685",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923240685",
            "telephone_number": "714-418-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "714-418-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "BENJAMIN",
        "middle_name": "JOHN",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-25",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95013310",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "95032060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.