Dyna Ozioma Benson, APRN, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Houston, TX
NPI 1104536655 · NPPES record last updated Apr 27, 2023
Key facts
- NPI
- 1104536655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1110272 (TX)
- Practice address
- 2800 S Macgregor Way
Houston, TX 77021-1032 - Phone
- (713) 471-5000
- NPI assigned
- Nov 23, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sondermind Provider Network LLC
Practice addresses (Care Compare)
500 Marquette Ave NW
Suite 1200
Albuquerque, NM 87102-5312
Phone (866) 630-0966
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240625002596 | NM | Practitioner - Nurse Practitioner | 2365807781 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 948909 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merced-LLC Merced Counseling Services | Current |
Accepting new patients | |
| Sondermind Provider Network LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Mental Health Specialty Group PA | Current |
Accepting new patients |
Locations
500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685
500 Marquette Ave NW
Albuquerque, NM 87102
Phone (505) 429-5750
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 948909 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1110272 | TX | Yes |
Addresses
Primary practice location
2800 S Macgregor Way
Houston, TX 77021-1032
Mailing address
2800 S Macgregor Way
Houston, TX 77021-1032
Phone (713) 471-5000
Other practice location 1
5616 H. Mark Crosswell Jr. St
Houston, TX 77021
Phone (713) 500-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25283475 | Other | TX | DRIVER LICENSE |
Other providers in Houston, TX
- Anita Benson
- Benson Benson
- Caleigh Benson
- Clayton Sue Benson
- Desiree Michelle Benson
- Garrett William Benson
- Karen Benson
- Kendal Benson
- Kenneth Amir Benson
- Mmasichukwu Benson
All providers in Houston, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.