MR. JAMES DAVID BENSON (AGNP-C, PHD) – Adult Health Nurse Practitioner, NPI 1023718574

MR. JAMES DAVID BENSON (AGNP-C, PHD) is a healthcare provider. based in Evanston, Wyoming. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C, PHD. They hold a License No. 51288 (WY). The NPI Number for MR. JAMES DAVID BENSON (AGNP-C, PHD) is 1023718574

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES DAVID BENSON (AGNP-C, PHD)
NPI
1023718574
Phone
(307) 212-6270
Address
170 ARROWHEAD DR STE 2
Enumeration Date
3 March 2023
Last Update Date
21 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3072126270
Graduation Year
2022 (4 years ago)
PAC ID
7517320435
Group Practice PAC ID
4385818681
Professional Enrollment ID
I20230825000222
Address ID
WY829309307EV170XXDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

596 NURSE PRACTITIONER in WY

Provider Addresses for MR. JAMES DAVID BENSON (AGNP-C, PHD)

  • 170 ARROWHEAD DR STE 2

    EVANSTON, WY 829309307

    Phone: (307) 212-6270

    Fax: (307) 212-6271

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $380.

Total Amount is formed as General ($380) + Research ($0) + Ownership ($0) = $380.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($172).

Total Amount

$380

General + Research + Ownership

Payments

20

Total payment records

General Amount

$380

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2023-08-25

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
I20230825000222INurse PractitionerWYTBD

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 82930)

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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: 4385818681View full group profile
NameSpecialtyState
Internal MedicineWY
Nurse PractitionerWY
Nurse PractitionerWY
Nurse PractitionerWY
Physician AssistantWY
Nurse PractitionerWY
Nurse PractitionerWY
Nurse PractitionerWY
Nurse PractitionerMD
-WY

Reviews

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Frequently asked questions

What number should I use to identify MR. JAMES DAVID BENSON (AGNP-C, PHD) for billing?
Administrative and clinical systems typically use NPI 1023718574 for MR. JAMES DAVID BENSON (AGNP-C, PHD).
Is MR. JAMES DAVID BENSON (AGNP-C, PHD)'s NPI status active today?
Active status means MR. JAMES DAVID BENSON (AGNP-C, PHD)'s NPI record is not deactivated in the public file.
What does the directory say MR. JAMES DAVID BENSON (AGNP-C, PHD) does?
Insurance directories may phrase it differently, but here MR. JAMES DAVID BENSON (AGNP-C, PHD) maps to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. JAMES DAVID BENSON (AGNP-C, PHD)?
MR. JAMES DAVID BENSON (AGNP-C, PHD) is associated with Evanston, Wyoming in the same public data insurers reference.
Can I export MR. JAMES DAVID BENSON (AGNP-C, PHD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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