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KIRK BENNETT PA-C
NPI 1194382077
Physician Assistant in Mesa, AZ

Active since May 25, 2019PECOS EnrolledAccepts Medicare Assignment
835 W UNIVERSITY DR, MESA, AZ 85201(480) 664-6007 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2025, Jun 28, 2024, Dec 15, 2022 and 1 more (4 updates tracked since 2019).

About Kirk Bennett Pa-c NPPES

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

KIRK BENNETT PA-C (NPI 1194382077) is an individual physician assistant in Mesa, Arizona, licensed in California (62204) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1194382077
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKIRK BENNETTCredential: PA-C
Location Address835 W UNIVERSITY DRMesa, AZ 85201-5555
Mailing Address835 W University DrMesa, AZ 85201-5555
Phone(480) 664-6007
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2019
Enumeration DateMay 25, 2019
Last NPPES UpdateJuly 7, 20254 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1194382077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · 62204✔ Licensed in AZ · 9503✔ Licensed in MI · 5601009199
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
835 W UNIVERSITY DR, Mesa, AZ 85201
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Secondary Practice Location 1

Location 1259 Mack AveDetroit, MI 48201 · Phone (313) 577-1716

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

Kirk Bennett Pa-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 ID9931436474
PECOS Enrollment IDI20190807000928, I20240314004034
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Columbia Memorial Hospital

Critical Access Hospitals · Astoria, OR
OwnershipProprietary
CMS Certification Number381320
Location2111 Exchange StreetAstoria, OR 97103 · Clatsop County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85201 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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 4

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

19TH AVENUE CLINIC LLC
Clinic/Center (Urgent Care)
835 W UNIVERSITY DR
MESA, AZ 85201
Maricopa County (480) 664-6007
HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC
Clinic/Center (Urgent Care)
835 W UNIVERSITY DR
MESA, AZ 85201
Maricopa County (480) 664-6007
TRI-CITY EXPRESS CARE, PLLC
Clinic/Center (Urgent Care)
835 W UNIVERSITY DR
MESA, AZ 85201
Maricopa County (480) 664-6007
KIRAN I THAKER PA
Physician Assistant
835 W UNIVERSITY DR
MESA, AZ 85201
Maricopa County (480) 664-6007

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 Kirk Bennett's NPI number?

The NPI number for Kirk Bennett is 1194382077. It was assigned to this individual provider in the NPPES registry on May 25, 2019.

Where is Kirk Bennett located?

Kirk Bennett practices at 835 W University Dr, Mesa, AZ 85201. The listed phone number is (480) 664-6007.

What is Kirk Bennett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kirk Bennett enrolled in Medicare?

Yes. Kirk 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 Kirk 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 list Kirk 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.

Is Kirk Bennett affiliated with any hospitals?

According to CMS data, Kirk Bennett is affiliated with Ascension Providence Hospital, Southfield And Novi and Columbia Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kirk Bennett was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.