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MRS. AYESHA MASSEY BENNETT FNP-C
NPI 1053895193
Nurse Practitioner - Family in Saint Clair Shores, MI

Active since September 24, 2018PECOS EnrolledAccepts Medicare Assignment
25200 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48081(586) 884-5656 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 1, 2019, Jan 11, 2019, Sep 24, 2018 (3 updates tracked since 2018).

About Mrs. Ayesha Massey Bennett Fnp-c NPPES

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

MRS. AYESHA MASSEY BENNETT FNP-C (NPI 1053895193) is an individual family provider in Saint Clair Shores, Michigan, licensed in Michigan (4704310793) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053895193
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AYESHA MASSEY BENNETTCredential: FNP-C
Location Address25200 LITTLE MACK AVESaint Clair Shores, MI 48081-2116
Mailing Address25200 Little Mack AveSaint Clair Shores, MI 48081-2116
Phone(586) 884-5656
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 24, 2018
Last NPPES UpdateJuly 1, 20193 updates tracked since enumeration
✔ NPI 1053895193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704310793
25200 LITTLE MACK AVE, Saint Clair Shores, MI 48081
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Ayesha Massey Bennett Fnp-c 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 ID6103162862
PECOS Enrollment IDI20190116004139
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 48081 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier30 claims30 services$4.40 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
3 suppliers14 claims810 services$0.81 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
9 suppliers20 claims20 services$24.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MEGHAN MARTINOVSKI NP
Nurse Practitioner (Family)
25200 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 884-5656
SHORES MEDICAL ASSOCIATES PLLC
Internal Medicine
25200 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 774-8720
ANNE WHITE MD PLLC
Allergy & Immunology
25200 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 884-5656
MRS. FLORA SMITH NP
Family Medicine
25200 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 884-5656

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 Ayesha Bennett's NPI number?

The NPI number for Ayesha Bennett is 1053895193. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Where is Ayesha Bennett located?

Ayesha Bennett practices at 25200 Little Mack Ave, Saint Clair Shores, MI 48081. The listed phone number is (586) 884-5656.

What is Ayesha Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ayesha Bennett enrolled in Medicare?

Yes. Ayesha Bennett 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.

What insurance does Ayesha Bennett accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Ayesha Bennett 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 Ayesha Bennett was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.