Benjamin Randall Gibson, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11035935 Issued in FL

Practice address

1221 E de Soto St
Pensacola, FL 32501-3337

Phone

(850) 437-9997

Fax

(850) 439-2122

NPI assigned

Oct 30, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Benjamin R Gibson Pmhnp LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pensacola, FL
  • NPI 1497602056
  Medicare reassignment NPD Authorized official
• Lakeview Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pensacola, FL
  • NPI 1316943772
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1871315747",
    "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": {
        "last_name": "GIBSON",
        "first_name": "BENJAMIN",
        "middle_name": "RANDALL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-30",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11035935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GHM Optical Shop
• Muhammad S. Ghumman, M.D.
• Kelli McGinnis Gibbs
• Marilyn Dial Gibbs, LMT
• Michelle Gibbs, LCSW
• John S Gibson, RPH
• Joseph Patrick Gibson, RPH
• Kacey Cotoli Gibson, D.O.
• Laynie Gibson, LMHC
• Margeaux Donovan Gibson, LMHC

• Psychiatric/Mental Health Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.