AMANDA BENJAMIN – Nurse Practitioner, NPI 1467859454

AMANDA BENJAMIN is a healthcare provider. based in Wilmington, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209012067 (IL). The NPI Number for AMANDA BENJAMIN is 1467859454

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA BENJAMIN
NPI
1467859454
Phone
(815) 725-7133
Address
844 KERRY CT
Enumeration Date
19 November 2014
Last Update Date
15 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2242736350
Graduation Year
2014 (12 years ago)
PAC ID
6204154354
Group Practice PAC ID
5597275685
Professional Enrollment ID
I20150421001800
Address ID
IL604356611JO201XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for AMANDA BENJAMIN

  • 844 KERRY CT

    WILMINGTON, IL 604818541

    Phone: (815) 725-7133

    Type: Mailing

  • 301 MADISON ST

    #300

    JOLIET, IL 604356549

    Phone: (815) 725-4367

    Type: Location

  • 900 RAND RD STE 300

    DES PLAINES, IL 600162359

    Phone: (847) 324-3976

    Fax: (847) 929-1154

    Type: Mailing

  • 951 ESSINGTON RD # 300

    JOLIET, IL 604358439

    Phone: (815) 744-4551

    Fax: (815) 744-4756

    Type: Location

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: 2015-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20150421001800INurse PractitionerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14183$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2222$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 60481)

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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: 5597275685View full group profile
NameSpecialtyState
Physician AssistantIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
Internal Medicine, GastroenterologyIN
Internal MedicineIL
Family PracticeIL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Internal MedicineIL
Family PracticeIL
Internal Medicine, Emergency MedicineMI
Family Practice, Emergency MedicineIL

Reviews

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Frequently asked questions

How is AMANDA BENJAMIN identified in CMS data?
CMS-hosted NPPES data lists AMANDA BENJAMIN with NPI 1467859454.
Is AMANDA BENJAMIN still practicing?
AMANDA BENJAMIN is currently listed as active in the public NPI registry.
What taxonomy line describes AMANDA BENJAMIN?
For research purposes, treat AMANDA BENJAMIN as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does AMANDA BENJAMIN list a practice location?
Patients near Wilmington, Illinois may find AMANDA BENJAMIN in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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