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MR. JAMES DAVID BENSON AGNP-C, PHD
NPI 1023718574
Nurse Practitioner - Adult Health in Evanston, WY

Active since March 03, 2023PECOS EnrolledAccepts Medicare Assignment
170 ARROWHEAD DR STE 2, EVANSTON, WY 82930(307) 212-6270(307) 212-6271 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2023, Mar 3, 2023 (2 updates tracked since 2023).

About Mr. James David Benson Agnp-c, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMES DAVID BENSON AGNP-C, PHD (NPI 1023718574) is an individual adult health provider in Evanston, Wyoming, licensed in Wyoming (51288) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023718574
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. JAMES DAVID BENSONCredential: AGNP-C, PHD
Location Address170 ARROWHEAD DR STE 2Evanston, WY 82930-9307
Mailing Address170 Arrowhead Dr Ste 2Evanston, WY 82930-9307 · (307) 212-6270 · Fax (307) 212-6271
Phone(307) 212-6270
Fax(307) 212-6271
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 3, 2023
Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1023718574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in WY · 51288
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 51288 (WY)
170 ARROWHEAD DR STE 2, Evanston, WY 82930
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. James David Benson Agnp-c, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517320435
PECOS Enrollment IDI20230825000222
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show James Benson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

High Country Behavioral Health
1.0 mi
Mental Health (Including Community Mental Health Center)
190 OVERTHRUST RD, STE 105
Evanston, WY 82930
  • Reassigned Medicare billing, Wyoming enrollment
  • 55 clinicians in this Medicare group
NPI 1891099545 (307) 789-4224
Pain Care Center, LLC
93 mi
Pain Medicine
2620 COMMERCIAL WAY STE 20
Rock Springs, WY 82901
  • Reassigned Medicare billing, Wyoming enrollment
  • 20 clinicians in this Medicare group
NPI 1023398906 (307) 212-6270

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
325 services60 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
175 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82930 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL ROCCARO BASS APRN, CSN
Clinical Nurse Specialist
170 ARROWHEAD DR STE 2
EVANSTON, WY 82930
Uinta County (307) 212-6270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Benson's NPI number?

The NPI number for James Benson is 1023718574. It was assigned to this individual provider in the NPPES registry on March 3, 2023.

Where is James Benson located?

James Benson practices at 170 Arrowhead Dr Ste 2, Evanston, WY 82930. The listed phone number is (307) 212-6270.

What is James Benson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is James Benson enrolled in Medicare?

Yes. James Benson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Benson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Benson reassigns Medicare benefits to 2 organizations: High Country Behavioral Health (Evanston, WY) and Pain Care Center, LLC (Rock Springs, WY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Benson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Benson accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list James Benson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Benson was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.