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JACQUELYN BENNER
NPI 1174082481
Pediatrics in Orange, CA

Active since March 16, 2019PECOS Enrolled
505 S MAIN ST STE 525, ORANGE, CA 92868(714) 456-5631 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Mar 16, 2019 (2 updates tracked since 2019).

About Jacquelyn Benner NPPES

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

JACQUELYN BENNER (NPI 1174082481) is an individual pediatrics provider in Orange, California, licensed in California (A179854) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174082481
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJACQUELYN BENNER
Location Address505 S MAIN ST STE 525Orange, CA 92868-4553
Mailing Address9300 Valley Childrens Pl # Sc05Madera, CA 93636-8761 · (559) 353-5700
Phone(714) 456-5631
Sole ProprietorNo
Enumeration DateMarch 16, 2019
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1174082481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A179854
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedAnesthesiologyTaxonomy 207L00000X · License A179854 (CA)
505 S MAIN ST STE 525, Orange, CA 92868
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn Benner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

LINDSEY LILL
Student in an Organized Health Care Education/Training Program
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (714) 509-8547
ESTHER CHANG
Student in an Organized Health Care Education/Training Program
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (925) 785-6878
LUKE YU MD
Student in an Organized Health Care Education/Training Program
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (714) 456-5631
CHARISSA LAU
Student in an Organized Health Care Education/Training Program
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (714) 509-8547
MARIA NGUYEN DO
Student in an Organized Health Care Education/Training Program
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (714) 509-8547
REGINA TANG
Student in an Organized Health Care Education/Training Program
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (714) 509-8547
DEAN TODD MD
Pediatrics
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (714) 456-5631
KATHERINE ALOYSIUS KILLMOND
Pediatrics
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (714) 456-5631

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 Jacquelyn Benner's NPI number?

The NPI number for Jacquelyn Benner is 1174082481. It was assigned to this individual provider in the NPPES registry on March 16, 2019.

Where is Jacquelyn Benner located?

Jacquelyn Benner practices at 505 S Main St Ste 525, Orange, CA 92868. The listed phone number is (714) 456-5631.

What is Jacquelyn Benner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacquelyn Benner enrolled in Medicare?

Yes. Jacquelyn Benner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelyn Benner was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.