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Active NPI 1194382077 Individual Practitioner Male Practitioner

Kirk Bennett , PA-C

Physician Assistant • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kirk Bennett, PA-C is a certified Physician Assistant practicing in Mesa, AZ. With approximately 7 years of clinical experience since graduating from Wayne State University School Of Medicine in 2019, Kirk Bennett delivers high-quality medical care to the local community at 835 W UNIVERSITY DR.

Kirk Bennett maintains professional affiliations with Columbia Lutheran Charities, Independent Hospitalist Physicians Pllc, Family Health Centers Of San Diego Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hospital observation care, emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

835 W University Dr

Mesa, AZ 852015555

Telephone 4806646007
Associated Practice Facility / Clinic
🏢 19th Avenue Clinic Llc Facility NPI 1053667709

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mesa, AZ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -0.6 yrs vs City Avg
City Avg: 7.6 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
474 Specialists

Practicing in Mesa, AZ (3711 Statewide)

Telehealth Adoption Rate
8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bennett (7 Years) 7 Yrs
Mesa Specialty Average (7.6 Years) 7.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99220 Hospital observation care, typically 70 minutes
20 20 $1403.00 $155.00
99285 Emergency department visit for life threatening or functioning severity
19 19 $1588.00 $158.56

Medical Specialties & State Licenses

CMS Verified: 2025-07-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 62204

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AZ 9503

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MI 5601009199

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.

Hospital & Practice Group Affiliations

Columbia Lutheran Charities

1639 Se Ensign Ln, Warrenton, OR 971467308

Phone: 5033384500

Columbia Lutheran Charities

1639 Se Ensign Ln, Warrenton, OR 971467308

Phone: 5033384500

Independent Hospitalist Physicians Pllc

16001 W 9 Mile Rd, Southfield, MI 480754818

Phone: 2488493000

Independent Observation Physicians Pllc

16001 W 9 Mile Rd, Southfield, MI 480754818

Phone: 2488493000

Independent Observation Physicians Pllc

47601 Grand River Ave, Novi, MI 483741233

Phone: 2484654210

Family Health Centers Of San Diego Inc

5160 Federal Blvd, San Diego, CA 921055429

Phone: 6195152454

Secondary Practice Locations

259 Mack Ave

Detroit, MI 48201

Phone: 3135771716

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Kiran Thaker , PA

Physician Assistant

NPI 1619225802

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2024

Physician Assistant (License #9503 in AZ)

📍
Updated Practice Location December 15, 2022

Registered at 835 W UNIVERSITY DR, MESA, AZ 852015555 (Tel: 4806646007)

📍
Updated Business Mailing Address December 15, 2022

Registered at 835 W UNIVERSITY DR, MESA, AZ 852015555

NPI Profile Active May 25, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2019

Registered at 259 MACK AVE, DETROIT, MI 48201 (Tel: 3135771716)

📍
Updated Business Mailing Address May 25, 2019

Registered at 259 MACK AVE, DETROIT, MI 482012427

👤
Provider Name / Credentials Updated May 25, 2019

Recorded as KIRK BENNETT, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2019

Physician Assistant (License #5601009199 in MI)

🟢
Initial NPI Registration & Enumeration May 25, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194382077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2019
Last Update: July 07, 2025
Sole Proprietor: No

Mailing Address

835 W University Dr

Mesa, AZ 852015555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.