BENJAMIN JAMES NEWBERRY (PA C) – Physician Assistant, NPI 1376944777

BENJAMIN JAMES NEWBERRY (PA C) is a healthcare provider. based in Muskegon, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. The NPI Number for BENJAMIN JAMES NEWBERRY (PA C) is 1376944777

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN JAMES NEWBERRY (PA C)
NPI
1376944777
Phone
Not provided
Address
2700 BAKER ST FL 3
Enumeration Date
5 September 2014
Last Update Date
22 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2317241335
Graduation Year
2014 (12 years ago)
PAC ID
2860613841
Group Practice PAC ID
8123015492
Professional Enrollment ID
I20141015001961
Address ID
MI494423466MU376XXAVEX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:11State licenses:0Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for BENJAMIN JAMES NEWBERRY (PA C)

  • 2700 BAKER ST FL 3

    MUSKEGON, MI 494442157

    Phone:

    Type: Mailing

  • 376 E APPLE AVE

    MUSKEGON, MI 494423466

    Phone: (231) 734-1335

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-08-05 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($28).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-10-15

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
I20141015001961IPhysician AssistantMITBD

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 49444)

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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: 8123015492View full group profile
NameSpecialtyState
Internal MedicineMI
Family PracticeMI
Family Practice, Addiction MedicineMI
Nurse PractitionerMI
Internal MedicineMI
Nurse PractitionerMI
Physician AssistantMI
-MI
Nurse PractitionerMI
Family PracticeMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for BENJAMIN JAMES NEWBERRY (PA C)?
BENJAMIN JAMES NEWBERRY (PA C) — NPI 1376944777 — is the standard way to identify this listing.
Does the file indicate BENJAMIN JAMES NEWBERRY (PA C) is practicing under active NPI?
Directory data currently reports BENJAMIN JAMES NEWBERRY (PA C) as active.
What is BENJAMIN JAMES NEWBERRY (PA C) best known for clinically?
Directory data describes BENJAMIN JAMES NEWBERRY (PA C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect BENJAMIN JAMES NEWBERRY (PA C) on a map?
Expect Muskegon, Michigan as a primary anchor for BENJAMIN JAMES NEWBERRY (PA C) unless the record lists multiple sites.
Why does BENJAMIN JAMES NEWBERRY (PA C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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