JACOB BENJAMIN SOLED RN
NPI 1326693326
Nurse Practitioner - Psychiatric/Mental Health in Santa Rosa, CA

Active since August 06, 2019PECOS EnrolledAccepts Medicare Assignment
2235 CHALLENGER WAY, SANTA ROSA, CA 95407(707) 565-4900 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacob Benjamin Soled Rn NPPES

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

JACOB BENJAMIN SOLED RN (NPI 1326693326) is an individual psychiatric/mental health provider in Santa Rosa, California, licensed in California (95026966) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1326693326
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJACOB BENJAMIN SOLEDCredential: RN
Location Address2235 CHALLENGER WAYSanta Rosa, CA 95407-5458
Mailing Address5554 Thomas RdSebastopol, CA 95472-9377 · (513) 509-5720
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 6, 2019
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
NPI 1326693326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95026966
Also ListedRegistered NurseTaxonomy 163W00000X · License 283910 (NC)
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN95171379 (CA)
2235 CHALLENGER WAY, Santa Rosa, CA 95407

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Benjamin Soled Rn 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 ID8123566734
PECOS Enrollment IDI20240814001922
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 95407 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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 7

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

Psychologist
2235 CHALLENGER WAY, SUITE 102
SANTA ROSA, CA 95407
Psychiatry & Neurology (Psychiatry)
2235 CHALLENGER WAY, SUITE 102
SANTA ROSA, CA 95407
Registered Nurse (Psychiatric/Mental Health)
2235 CHALLENGER WAY
SANTA ROSA, CA 95407
Psychiatry & Neurology (Psychiatry)
2235 CHALLENGER WAY
SANTA ROSA, CA 95407
Marriage & Family Therapist
2235 CHALLENGER WAY, 101
SANTA ROSA, CA 95407
Rehabilitation Practitioner
2235 CHALLENGER WAY
SANTA ROSA, CA 95407
Marriage & Family Therapist
2235 CHALLENGER WAY
SANTA ROSA, CA 95407

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326693326, enumerated as an "individual" on August 06, 2019.

The provider is located at 2235 CHALLENGER WAY SANTA ROSA, CA 95407 and the phone number is (707) 565-4900.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.