Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benadette Song

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063360030

Benadette Song is a Nurse Practitioner in Richmond, Indiana. Graduated from Indiana University School of Medicine in 2026. Works from 2 locations. Licensed in Indiana.

Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2026
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Practice location Address checks out

1130 N J St
Richmond, IN 47374-1913
Phone: (765) 983-7970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1915 Chester Blvd, Richmond, IN 47374-1212 — (765) 983-3000

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71017857A (IN)

Record details

NPI number1063360030
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 17, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1100 Reid Pkwy, Richmond, IN 47374-1157

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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