Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Raudabaugh, MSN, RN, AGPCNP-BC

Individual provider Registered Nurse · NPI 1699228866

Benjamin Raudabaugh, MSN, RN, AGPCNP-BC is a Nurse Practitioner in San Francisco, California. Qualified in 2017, 9 years ago. Practices with University of California San Francisco, a 1,793-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
9
Licensed in
CA, NY
In the registry since
2016
Specialties on file
3
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1825 4th St
San Francisco, CA 94143-2350
Phone: (415) 734-8394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 160 E 34th St, New York, NY 10016 — (212) 731-5445

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence NP95016956 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 689381 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence F308129 (NY)

Record details

NPI number1699228866
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , RN , AGPCNP-BC
Sole proprietorNo
NPI enumeratedJuly 25, 2016
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Of California San Francisco — 1793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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