Active NPI
Benjamin John Caudill, RN, MSN, FNP-C
- Nurse Practitioner
- Moreno Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95013310
- Practice address
- 26520 Cactus Ave
Moreno Valley, CA 92555-3927 - Phone
- (714) 418-3393
- NPI assigned
- Aug 25, 2019
- Last updated
- May 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95032060 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Faculty Medical Group Inc | Current | Accepting new patients | |
| Cep America - Neurology PC | Current | Accepting new patients | |
| Cep America - Neurology PC | Current | Accepting new patients | |
| Cep America - Neurology PC | Current | Accepting new patients | |
| Apple Urgent Care, Inc | Current | Accepting new patients | |
| Apple Urgent Care, Inc | Current | Accepting new patients | |
| California Neurointerventional Surgeons, Inc | Current | Accepting new patients | |
| Arrowhead Neurosurgical Medical Group, Inc. | Past | 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
- 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.
-
- Vascular & Interventional Radiology Physician
- Riverside, CA
- NPI 1417315300
-
- Internal Medicine Physician
- Moreno Valley, CA
- NPI 1124032461
-
- Urgent Care Clinic/Center
- Hemet, CA
- NPI 1316005572
-
dba Apple Urgent Care - Perris
- Urgent Care Clinic/Center
- Perris, CA
- NPI 1396444261
-
- Neurology Physician
- Murrieta, CA
- NPI 1235779521
-
- Neurology Physician
- Terre Haute, IN
- NPI 1124843586
-
- Neurological Surgery Physician
- Moreno Valley, CA
- NPI 1639255854
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Moreno Valley, CA
- NPI 1821159195
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.