CADE BENJAMIN WOOLSEY – Nurse Practitioner, NPI 1669822391
Nurse Practitioner
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NPPES metrics only — not quality of care.
16,353 NURSE PRACTITIONER in CA
Provider Addresses for CADE BENJAMIN WOOLSEY
5900 Brockton Ave
Riverside, CA 925061862
Phone: (951) 275-8400
Type: Location
750 Round Valley Dr Ste 201
Park City, UT 840607549
Phone: (435) 649-7680
Type: Location
1910 PROSPECTOR AVE STE 201B
PARK CITY, UT 840607223
Phone: (951) 239-5982
Type: Location
400, Pepper Avenue, West Colton, Colton, San Bernardino County, California, 92324, United States
COLTON, CA 923241801
Phone: (909) 580-3144
Fax: (909) 580-2165
Type: Mailing
3169 Deming Way
Middleton, WI 535621435
Phone: (608) 716-8288
Type: Location
6833 Indiana Ave Ste 101
Riverside, CA 925064223
Phone: (657) 346-6319
Fax: (951) 269-4184
Type: Location
400 N Pepper Ave
Colton, CA 923241801
Phone: (909) 580-3144
Fax: (909) 580-2165
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $133.
Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.
Last reported payment date: 2024-04-28 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($133).
Total Amount
$133
General + Research + Ownership
Payments
1
Total payment records
General Amount
$133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $133 |
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: 2025-09-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240703001160 | I | Nurse Practitioner | WI | TBD |
| I20250904001342 | I | Nurse Practitioner | UT | TBD |
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.
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 92506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | WI |
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