KANDICE RENEE BEENKEN D.O.
NPI 1982991501
Orthopaedic Surgery in San Diego, CA
About Kandice Renee Beenken D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANDICE RENEE BEENKEN D.O. (NPI 1982991501) is an individual orthopaedic surgery provider in San Diego, California, licensed in California (20A15340) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains a secondary practice location in Las Vegas.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kandice Renee Beenken D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kandice Beenken reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 1,437 clinicians in this Medicare group
San Diego, CA 92111
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Jeffrey M Smith MD Inc
- 8 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Mary's Medical Center
Acute Care Hospitals · Duluth, MNEssentia Health Duluth
Acute Care Hospitals · Duluth, MNEssentia Health Virginia
Acute Care Hospitals · Virginia, MNEssentia Health Deer River
Critical Access Hospitals · Deer River, MNSt Marys Hospital Superior
Critical Access Hospitals · Superior, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
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 Kandice Beenken's NPI number?
The NPI number for Kandice Beenken is 1982991501. It was assigned to this individual provider in the NPPES registry on July 4, 2011.
Where is Kandice Beenken located?
Kandice Beenken practices at 3750 Convoy St Ste 201, San Diego, CA 92111. The listed phone number is (858) 278-8031.
What is Kandice Beenken's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Kandice Beenken enrolled in Medicare?
Yes. Kandice Beenken is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kandice Beenken's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kandice Beenken reassigns Medicare benefits to 3 organizations: Emergency And Acute Care Medical Corporation (San Diego, CA), Jeffrey M. Smith, M.D., Inc. (San Diego, CA) and The Duluth Clinic Ltd (Grand Rapids, MN). Each 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 Kandice Beenken's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kandice Beenken accept?
Health plans from HealthPartners, Sanford Health Plan and Security Health Plan list Kandice Beenken 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.
Is Kandice Beenken affiliated with any hospitals?
According to CMS data, Kandice Beenken is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Essentia Health Virginia, Essentia Health Deer River and St Marys Hospital Superior.
When was this NPI record last updated?
The NPPES record for Kandice Beenken was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kandice Renee Beenken, D.O. · NPI 1982991501
Orthopaedic Surgery physician in San Diego, California. Individual provider, active in the CMS NPPES registry since July 4, 2011.
## Identity
- **NPI:** 1982991501 (Entity type: Individual)
- **Enumerated:** July 4, 2011
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 20A15340 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3750 CONVOY ST STE 201, San Diego, CA 92111-3770
- **Phone:** (858) 278-8031 · **Fax:** (858) 278-1708
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Emergency And Acute Care Medical Corporation (NPI 1437103942, San Diego, CA); Jeffrey M. Smith, M.D., Inc. (NPI 1700898103, San Diego, CA); The Duluth Clinic Ltd (NPI 1184132664, Grand Rapids, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 1982991501 (NV); Other DO2030 (NV); Other 20A15340 (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1982991501) · Data from the CMS NPPES public registry.