DR. BENJAMIN GORDON COULAM DNP
NPI 1376103887
Nurse Practitioner - Family in Monmouth, OR

Q: What is Benjamin Coulam's NPI number?

The NPI number for Benjamin Coulam is 1376103887. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Q: What is Benjamin Coulam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Benjamin Coulam was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since June 17, 2019PECOS Enrolled

512 MAIN ST E, MONMOUTH, OR 97361(503) 838-1182 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Benjamin Gordon Coulam Dnp NPPES

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

DR. BENJAMIN GORDON COULAM DNP (NPI 1376103887) is an individual family provider in Monmouth, Oregon, licensed in Oregon (201904528NP-PP) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376103887

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDR. BENJAMIN GORDON COULAMCredential: DNP

Location Address512 MAIN ST EMonmouth, OR 97361-2369

Mailing Address512 Main St EMonmouth, OR 97361-2369

Phone(503) 838-1182

Sole ProprietorNo

Enumeration DateJune 17, 2019

✔ NPI 1376103887 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 OR · 201904528NP-PP

512 MAIN ST E, Monmouth, OR 97361

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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)

Dr. Benjamin Gordon Coulam Dnp 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 97361 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers12 claims28 services$6.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. JONAH THOMAS COOPER-LEAVITT D.M.D.

Dentist (General Practice)

512 MAIN ST E, SUITE 100
MONMOUTH, OR 97361

Polk County (503) 837-0512

ANNA MARIE MATHISEN PA-C

Physician Assistant

512 MAIN ST E
MONMOUTH, OR 97361

Polk County (503) 838-1182

JOCELYNE BLANCO

Physician Assistant

512 MAIN ST E
MONMOUTH, OR 97361

Polk County (503) 838-1182

PHILLIP EDWIN SEGURA JR.

Physical Therapist

512 MAIN ST E
MONMOUTH, OR 97361

Polk County (503) 838-1388

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 Benjamin Coulam's NPI number?

The NPI number for Benjamin Coulam is 1376103887. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Benjamin Coulam located?

Benjamin Coulam practices at 512 Main St E, Monmouth, OR 97361. The listed phone number is (503) 838-1182.

What is Benjamin Coulam's specialty?

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

Is Benjamin Coulam enrolled in Medicare?

Yes. Benjamin Coulam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Coulam was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.