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MAKEBA LACHERYL BENJAMIN
NPI 1568259109
Nurse Practitioner in Stockton, CA

Active since April 24, 2025PECOS Enrolled
10310 VAUGHN DR, STOCKTON, CA 95212(209) 981-9551 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Makeba Lacheryl Benjamin NPPES

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

MAKEBA LACHERYL BENJAMIN (NPI 1568259109) is an individual nurse practitioner in Stockton, California, licensed in California (95034214) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568259109
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMAKEBA LACHERYL BENJAMIN
Location Address10310 VAUGHN DRStockton, CA 95212-9344
Mailing Address10310 Vaughn DrStockton, CA 95212-9344 · (209) 981-9551
Phone(209) 981-9551
Sole ProprietorYes
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1568259109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95034214
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10310 VAUGHN DR, Stockton, CA 95212
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Makeba Lacheryl Benjamin 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.

Medicare Billing Reassignment

Medicare enrollment records show Makeba Benjamin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospitalists Of Modesto Medical Group Inc
30 mi
Internal Medicine
1441 FLORIDA AVE
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 176 clinicians in this Medicare group
NPI 1821190711 (209) 576-3525

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95212 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Makeba Benjamin's NPI number?

The NPI number for Makeba Benjamin is 1568259109. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Makeba Benjamin located?

Makeba Benjamin practices at 10310 Vaughn Dr, Stockton, CA 95212. The listed phone number is (209) 981-9551.

What is Makeba Benjamin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Makeba Benjamin enrolled in Medicare?

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

Which organization bills Medicare for Makeba Benjamin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Makeba Benjamin reassigns Medicare benefits to Hospitalists Of Modesto Medical Group Inc (Modesto, CA). The 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 Makeba Benjamin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Makeba Benjamin was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.