AMANDA BENJELLOUN ARNP
NPI 1487335188
Nurse Practitioner - Family in Everett, WA

Q: What is Amanda Benjelloun's NPI number?

The NPI number for Amanda Benjelloun is 1487335188. It was assigned to this individual provider in the NPPES registry on July 26, 2023.

Q: What is Amanda Benjelloun'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 Amanda Benjelloun was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 26, 2023PECOS EnrolledAccepts Medicare Assignment

4201 RUCKER AVE, EVERETT, WA 98203(425) 382-4000 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2025, Aug 31, 2023, Jul 26, 2023 (3 updates tracked since 2023).

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About Amanda Benjelloun Arnp NPPES

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

AMANDA BENJELLOUN ARNP (NPI 1487335188) is an individual family provider in Everett, Washington, licensed in Washington (AP61449064) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and is a graduate of University Of Cincinnati College Of Medicine (2023).

NPPES Registry Identity

NPI1487335188

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA BENJELLOUNCredential: ARNP

Location Address4201 RUCKER AVEEverett, WA 98203-2215

Mailing Address4201 Rucker AveEverett, WA 98203-2215 · (425) 382-4000

Phone(425) 382-4000

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2023

Enumeration DateJuly 26, 2023

Last NPPES UpdateMay 6, 20253 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1487335188 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 WA · AP61449064

4201 RUCKER AVE, Everett, WA 98203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Amanda Benjelloun Arnp 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 ID3577919612

PECOS Enrollment IDI20231026001685

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.

Hospital Affiliations CMS Care Compare

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

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500014

Location1321 Colby AvenueEverett, WA 98201 · Snohomish County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98203 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

DR. GABIJA REVIS DMD

Dentist (General Practice)