Active NPI
Benjamin R Gibson Pmhnp LLC
- Psychiatric/Mental Health Nurse Practitioner
- Pensacola, FL
National Provider Identifier
1497602056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BENJAMIN R GIBSON PMHNP LLC
- Practice address
- 1221 E de Soto St
Pensacola, FL 32501-3337 - Phone
- (850) 437-9997
- Fax
- (850) 439-2122
- NPI assigned
- Mar 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Gibson, PMHNP
- Title
- Owner
- Phone
- (850) 485-0994
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1221 E de Soto St
Pensacola, FL 32501-3337
Mailing address
695 Tennyson PL
Pensacola, FL 32503-3233
Phone (850) 485-0994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Pensacola, FL
- NPI 1871315747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773273600000",
"number": "1497602056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 TENNYSON PL",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325033233",
"telephone_number": "850-485-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 E DE SOTO ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325013337",
"telephone_number": "850-437-9997",
"fax_number": "850-439-2122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENJAMIN R GIBSON PMHNP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-12",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-485-0994",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.