RACHEL BENJAMIN APRN
NPI 1114591880
Nurse Practitioner - Family in Salem, IL

Active since May 18, 2021PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
1201 RICKER RD, SALEM, IL 62881(618) 900-1070 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2026, Aug 12, 2021, May 18, 2021 (3 updates tracked since 2021).

About Rachel Benjamin Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHEL BENJAMIN APRN (NPI 1114591880) is an individual family provider in Salem, Illinois, licensed in Illinois (209022634) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains a secondary practice location in Vandalia.

NPPES Registry Identity

NPI1114591880
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL BENJAMINCredential: APRN
Location Address1201 RICKER RDSalem, IL 62881-4263
Mailing AddressPo Box 160Troy, IL 62294-0160
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 18, 2021
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1114591880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209022634
1201 RICKER RD, Salem, IL 62881

Secondary Practice Location 1

Location 1650 W Taylor StVandalia, IL 62471-1227 · Phone (618) 283-1231

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Benjamin Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406254374
PECOS Enrollment IDI20211006002705
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Rachel Benjamin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
650 W TAYLOR ST
Vandalia, IL 62471
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1306959689 (Illinois)
  • 121 clinicians in this Medicare group
Orthopaedic Surgery
12866 TROXLER AVE
Highland, IL 62249
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
Family Medicine
400 MAPLE SUMMIT RD
Jerseyville, IL 62052
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Jersey Community Hospital
  • 61 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Salem Township Hospital

Critical Access Hospitals · Salem, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number141345
Location1201 Ricker DriveSalem, IL 62881 · Marion County
Emergency services

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62881 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1201 RICKER RD
SALEM, IL 62881
Emergency Medicine
1201 RICKER RD
SALEM, IL 62881
Nurse Practitioner (Psychiatric/Mental Health)
1201 RICKER RD
SALEM, IL 62881
Physical Therapist
1201 RICKER RD
SALEM, IL 62881
Registered Nurse
1201 RICKER RD
SALEM, IL 62881
Physical Therapist
1201 RICKER RD
SALEM, IL 62881
Occupational Therapist
1201 RICKER RD
SALEM, IL 62881
Nurse Practitioner (Family)
1201 RICKER RD
SALEM, IL 62881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachel Benjamin's NPI number?

The NPI number for Rachel Benjamin is 1114591880. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Rachel Benjamin located?

Rachel Benjamin practices at 1201 Ricker Rd, Salem, IL 62881. The listed phone number is (618) 900-1070.

What is Rachel Benjamin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rachel Benjamin enrolled in Medicare?

Yes. Rachel Benjamin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Rachel Benjamin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Benjamin reassigns Medicare benefits to 3 organizations: Sarah Bush Lincoln Health Center (Vandalia, IL), K And L Medical, LLC (Highland, IL) and Jersey Community Hospital District (Jerseyville, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachel Benjamin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Benjamin accept?

Health plans from Medica and UnitedHealthcare list Rachel Benjamin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rachel Benjamin affiliated with any hospitals?

According to CMS data, Rachel Benjamin is affiliated with Ssm Health St Mary's Hospital -Centralia, Salem Township Hospital and Fayette County Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Benjamin was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.