BENJAMIN H BARRAZA CRNP
NPI 1629835582
Nurse Practitioner - Family in Decatur, AL

Active since March 06, 2024PECOS Enrolled
1201 7TH ST SE, DECATUR, AL 35601(256) 973-2000 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Benjamin H Barraza Crnp NPPES

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

BENJAMIN H BARRAZA CRNP (NPI 1629835582) is an individual family provider in Decatur, Alabama, licensed in Alabama (1-179151) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629835582
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBENJAMIN H BARRAZACredential: CRNP
Location Address1201 7TH ST SEDecatur, AL 35601-3337
Mailing Address1201 7th St SeDecatur, AL 35601-3337 · (256) 973-2000
Sole ProprietorNo
Enumeration DateMarch 6, 2024
NPPES CertifiedMarch 6, 2024
NPI 1629835582 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 AL · 1-179151
1201 7TH ST SE, Decatur, AL 35601

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Benjamin H Barraza Crnp 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
29 services29 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35601 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Nurse Anesthetist, Certified Registered
1201 7TH ST SE
DECATUR, AL 35601
Family Medicine
1201 7TH ST SE
DECATUR, AL 35601
Hospitalist
1201 7TH ST SE
DECATUR, AL 35601
General Acute Care Hospital
1201 7TH ST SE
DECATUR, AL 35601
Internal Medicine
1201 7TH ST SE
DECATUR, AL 35601
Anesthesiology
1201 7TH ST SE
DECATUR, AL 35601
Emergency Medicine
1201 7TH ST SE
DECATUR, AL 35601
Nurse Practitioner (Family)
1201 7TH ST SE
DECATUR, AL 35601

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 Barraza's NPI number?

The NPI number for Benjamin Barraza is 1629835582. It was assigned to this individual provider in the NPPES registry on March 6, 2024.

Where is Benjamin Barraza located?

Benjamin Barraza practices at 1201 7th St SE, Decatur, AL 35601. The listed phone number is (256) 973-2000.

What is Benjamin Barraza's specialty?

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

Is Benjamin Barraza enrolled in Medicare?

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

What insurance does Benjamin Barraza accept?

Health plans from Blue Cross and Blue Shield of Alabama list Benjamin Barraza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Barraza was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.