Individual provider Active NPI

Brandon Bennion, DNP,FNP-BC

  • Nurse Practitioner
  • Casper, WY
National Provider Identifier
1992255780
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
27372.1554 Issued in WY
Practice address
2546 E 2ND St Ste 400
Casper, WY 82609-2062
Phone
(307) 234-0003
Fax
(307) 472-4551
NPI assigned
Oct 5, 2016
Last updated
Oct 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 27372.1554 WY Primary

Addresses

Primary practice location

2546 E 2ND St Ste 400
Casper, WY 82609-2062

Mailing address

2546 E 2ND St Ste 400
Casper, WY 82609-2062
Phone (307) 234-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20161116001966 WY Practitioner - Nurse Practitioner 8426337387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Wyoming Skin Clinic PCGroup PAC ID 7416930649, 3 clinicians

Practice addresses (Care Compare)

2012 Elm St
Rawlins, WY 82301-5164
Phone (307) 234-0003

2546 E 2ND St
Casper, WY 82609-2062
Phone (307) 234-0003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.81 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
79.35

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Wyoming Skin Clinic PC CurrentSince Dec 1, 2016 Accepting new patients

Locations

2546 E 2nd St
Ste 400
Casper, WY 82609
Phone (307) 234-0003

2012 Elm St
Rawlins, WY 82301
Phone (307) 234-0003

Interoperability endpoints

  • FHIR API: https://wyoskindoc.mmi.prod.fhir.ema-api.com/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1992255780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 E 2ND ST STE 400",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092062",
            "telephone_number": "307-234-0003",
            "fax_number": "307-472-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 E 2ND ST STE 400",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092062",
            "telephone_number": "307-234-0003",
            "fax_number": "307-472-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNION",
        "first_name": "BRANDON",
        "credential": "DNP,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "27372.1554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.