BENJAMIN SCHRODER – Physician Assistant, NPI 1124506829

BENJAMIN SCHRODER is a healthcare provider. based in Vancouver, Washington. specializing in Physician Assistant. They hold a License No. PA188928 (OR). The NPI Number for BENJAMIN SCHRODER is 1124506829

Main info

Male
Name
BENJAMIN SCHRODER
NPI
1124506829
Phone
(360) 729-1253
Address
1115 SE 164TH AVE DEPT 358
Enumeration Date
3 August 2018
Last Update Date
11 September 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for BENJAMIN SCHRODER

  • 1115 SE 164TH AVE DEPT 358

    VANCOUVER, WA 986838004

    Phone: (360) 729-1253

    Fax: (360) 729-3185

    Type: Mailing

  • PeaceHealth Peace Harbor Medical Center, 400, 9th Street, Florence, Lane County, Oregon, 97439, United States

    FLORENCE, OR 974397398

    Phone: (541) 997-8412

    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: 2018-12-10

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
I20181210002380IPhysician AssistantORTBD

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 98683)

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Reviews

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Frequently asked questions

What number should I use to identify BENJAMIN SCHRODER for billing?
Administrative and clinical systems typically use NPI 1124506829 for BENJAMIN SCHRODER.
Is BENJAMIN SCHRODER currently accepting referrals based on NPI status?
Registry metadata lists BENJAMIN SCHRODER as active.
What type of care does BENJAMIN SCHRODER provide?
BENJAMIN SCHRODER's profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BENJAMIN SCHRODER tied to Vancouver, Washington?
If you are local to Vancouver, Washington, BENJAMIN SCHRODER may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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