BREANNE BENEDICT
NPI 1992104715
Psychologist in Tracy, CA
About Breanne Benedict NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNE BENEDICT (NPI 1992104715) is an individual psychologist in Tracy, California, licensed in California (30435) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Breanne Benedict is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Breanne Benedict reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
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 Breanne Benedict's NPI number?
The NPI number for Breanne Benedict is 1992104715. It was assigned to this individual provider in the NPPES registry on August 18, 2014.
Where is Breanne Benedict located?
Breanne Benedict practices at 2185 W Grant Line Rd, Tracy, CA 95377. The listed phone number is (209) 839-6299.
What is Breanne Benedict's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Breanne Benedict enrolled in Medicare?
Yes. Breanne Benedict is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Breanne Benedict's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Breanne Benedict reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Breanne Benedict'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 Breanne Benedict was last updated on January 3, 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.