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JESSIE SOPHIA BENNETT PA-C
NPI 1811838303
Physician Assistant in Roseville, CA

Active since April 01, 2026PECOS Enrolled
3100 DOUGLAS BLVD, ROSEVILLE, CA 95661(916) 774-8300 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, May 18, 2026, Apr 10, 2026 and 1 more (4 updates tracked since 2026).

About Jessie Sophia Bennett Pa-c NPPES

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

JESSIE SOPHIA BENNETT PA-C (NPI 1811838303) is an individual physician assistant in Roseville, California, licensed in California (1222736) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1811838303
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSIE SOPHIA BENNETTCredential: PA-C
Location Address3100 DOUGLAS BLVDRoseville, CA 95661-3866
Mailing AddressPo Box 255228Sacramento, CA 95865-5228
Phone(916) 774-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateApril 1, 2026
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1811838303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 1222736
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3100 DOUGLAS BLVD, Roseville, CA 95661
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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)

Jessie Sophia Bennett Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830660745
PECOS Enrollment IDI20260602001042
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 95661 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
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.

JENINA SEGALE RD
Dietitian, Registered
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8885
ANN MARIE WINTERTON LCSW
Dietitian, Registered
3100 DOUGLAS BLVD, SUITE 204
ROSEVILLE, CA 95661
Placer County (916) 774-8885
MARIA-DOLORES CERQUEIRA HANEFFANT PA
Physician Assistant (Medical)
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8300
RUPINDER TUMBER RD
Dietitian, Registered
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8885
MRS. GINA M WHITELEY I RD, CDE
Dietitian, Registered
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 865-1140
DR. KENNY BAINS M.D.
Family Medicine
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8300
PATRICIA MARIE DIXSON FNP
Nurse Practitioner (Family)
3100 DOUGLAS BLVD, SUITE 325
ROSEVILLE, CA 95661
Placer County (916) 241-9844
DR. ROGER ANG M.D.
Family Medicine
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8300

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 Jessie Bennett's NPI number?

The NPI number for Jessie Bennett is 1811838303. It was assigned to this individual provider in the NPPES registry on April 1, 2026.

Where is Jessie Bennett located?

Jessie Bennett practices at 3100 Douglas Blvd, Roseville, CA 95661. The listed phone number is (916) 774-8300.

What is Jessie Bennett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessie Bennett enrolled in Medicare?

Yes. Jessie Bennett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessie Bennett was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.