Linda Benson, PHD, PMHNP-BC

Key facts

NPI: 1902640709
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: 54743 (WY)
Practice address: 150 Arrowhead Dr Ste 2
Evanston, WY 82930-9353
Phone: (307) 789-8881
NPI assigned: Jun 25, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Evanston Clinic Corp Family Medicine Physician · Evanston, WY · NPI 1013916519

Medicare reassignment Care Compare group NPD WY

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Evanston Hospital Corporation General Acute Care Hospital · Evanston, WY · NPI 1639140015

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2019
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Evanston Clinic Corp (24 clinicians)

Practice addresses (Care Compare)

196 Arrowhead Dr
Suite 1
Evanston, WY 82930-8752
Phone (307) 783-8123

Hospital & facility affiliations

Evanston Regional Hospital Hospital · Evanston, WY · CCN 531319

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WY
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
I20241010002092	WY	Practitioner - Nurse Practitioner	3870025224	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner, Doctor of Philosophy

State licenses

License	State	Type	Specialty
54743	WY	MD	Psychiatric/Mental Health Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Evanston Clinic Corp		Current since Sep 1, 2024	Accepting new patients

Locations

150 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 789-5080

196 Arrowhead Dr
Ste 1
Evanston, WY 82930
Phone (307) 783-8123

196 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 783-8143

150 Arrowhead Dr
Ste 1
Evanston, WY 82930
Phone (307) 789-0524

Interoperability endpoints

Direct secure messaging: linda.benson.1@1583.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	54743	WY	Yes

Addresses

Primary practice location

150 Arrowhead Dr Ste 2
Evanston, WY 82930-9353

Mailing address

150 Arrowhead Dr Ste 2
Evanston, WY 82930-9353
Phone (307) 789-8881

Other providers in Evanston, WY

All providers in Evanston, WY · Psychiatric/Mental Health Nurse Practitioner in Wyoming

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. 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.

Verify at the official NPI Registry.