BENADETTE SONG
NPI 1063360030
Nurse Practitioner - Psychiatric/Mental Health in Richmond, IN

Q: What is Benadette Song's NPI number?

The NPI number for Benadette Song is 1063360030. It was assigned to this individual provider in the NPPES registry on March 17, 2026.

Q: What is Benadette Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Benadette Song was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 17, 2026PECOS Enrolled

1130 N J ST, RICHMOND, IN 47374(765) 983-7970 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Mar 17, 2026 (2 updates tracked since 2026).

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About Benadette Song NPPES

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

BENADETTE SONG (NPI 1063360030) is an individual psychiatric/mental health provider in Richmond, Indiana, licensed in Indiana (71017857A) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Richmond, and is a graduate of Indiana University School Of Medicine (2026).

NPPES Registry Identity

NPI1063360030

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameBENADETTE SONG

Location Address1130 N J STRichmond, IN 47374-1913

Mailing Address1100 Reid PkwyRichmond, IN 47374-1157

Phone(765) 983-7970

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2026

Enumeration DateMarch 17, 2026

Last NPPES UpdateMay 18, 20262 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1063360030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71017857A

1130 N J ST, Richmond, IN 47374

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Secondary Practice Location 1

Location 11915 Chester BlvdRichmond, IN 47374-1212 · Phone (765) 983-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benadette Song is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830668524

PECOS Enrollment IDI20260512001124

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47374 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 17

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

DR. AKBAR KHAN SHINWARI MD

Psychiatry & Neurology (Psychiatry)