Individual provider Active NPI

Benjamin Alan Hermonat, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1881542157
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5024477 Issued in NC
Practice address
5030 Randall Pkwy
Wilmington, NC 28403-2829
Phone
(540) 492-1348
NPI assigned
Mar 20, 2026
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5024477 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5030 Randall Pkwy
Wilmington, NC 28403-2829

Mailing address

330 Summerhouse Dr
Holly Ridge, NC 28445-6003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20260601003363 NC Practitioner - Nurse Practitioner 7214407196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 Summerhouse Dr
Holly Ridge, NC 28445-6003

5030 Randall Pkwy
Wilmington, NC 28403-2829

530 New Waverly PL
Suite 314
Cary, NC 27518-7414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5024477NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elune Mental Health, PLLC Single Specialty CurrentSince Sep 18, 2026 Accepting new patients

Locations

2930 Henderson Dr
Ste B
Jacksonville, NC 28546
Phone (540) 492-1348

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1881542157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SUMMERHOUSE DR",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284456003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 RANDALL PKWY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032829",
            "telephone_number": "540-492-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMONAT",
        "first_name": "BENJAMIN",
        "middle_name": "ALAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5024477",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.