JAMILA M BENN (MD) – Family Medicine Physician, NPI 1477564946

JAMILA M BENN (MD) is a healthcare provider. based in Windsor, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 1419 (VI). The NPI Number for JAMILA M BENN (MD) is 1477564946

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
JAMILA M BENN (MD)
NPI
1477564946
Phone
(707) 433-5494
Address
8465 OLD REDWOOD HWY STE 320
Enumeration Date
10 August 2006
Last Update Date
8 June 2018

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
7073033600
Graduation Year
2003 (23 years ago)
PAC ID
3476747577
Group Practice PAC ID
0345130423
Professional Enrollment ID
I20180205002781
Address ID
CA954076798SA751XXCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for JAMILA M BENN (MD)

  • 8465 OLD REDWOOD HWY STE 320

    WINDSOR, CA 95492

    Phone: (707) 433-5494

    Fax: (707) 837-0119

    Type: Location

  • 1381, University Street, Healdsburg, Sonoma County, California, 95448, United States

    HEALDSBURG, CA 954483314

    Phone: (707) 433-5494

    Fax: (707) 431-8649

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150326000373IFamily PracticeHITBD
I20180205002781IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95492)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345130423View full group profile
NameSpecialtyState
Nurse PractitionerCA
Family PracticeCA
Nurse PractitionerCA
Family PracticeCA
Family Practice, HospitalistCA
Family PracticeMA
Hospitalist, Family PracticeCA
Family PracticeCA
Nurse PractitionerNM
Family PracticeCA

Reviews

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Frequently asked questions

How do payers reference JAMILA M BENN (MD)?
For JAMILA M BENN (MD), use NPI 1477564946 as the unique 10-digit identifier.
Is there an active status for JAMILA M BENN (MD)?
For scheduling context, JAMILA M BENN (MD) is shown as active in the registry.
What expertise is attributed to JAMILA M BENN (MD)?
JAMILA M BENN (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JAMILA M BENN (MD)?
Travel planning: use Windsor, California as the reference point for JAMILA M BENN (MD), then confirm.
When was this NPI issued?
Enumeration for JAMILA M BENN (MD) is noted as August 10, 2006 where the registry provides it.

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