Individual provider Active NPI

Benjamin Dorsett, PA-C

  • Physician Assistant
  • Lawrence, KS
National Provider Identifier
1033638820
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-03176 Issued in KS
Practice address
4951 W 18TH St
Lawrence, KS 66047-2090
Phone
(785) 841-6540
Fax
(785) 841-3129
NPI assigned
Sep 13, 2017
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-03176 KS Primary

Addresses

Primary practice location

4951 W 18TH St
Lawrence, KS 66047-2090

Mailing address

109 Shady LN
Osawatomie, KS 66064-1713

Other names 1

  • Ben Dorsett Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251231003128 KS Practitioner - Physician Assistant 6709372451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Family Practice Center PAGroup PAC ID 8426021684, 9 clinicians

Practice addresses (Care Compare)

4951 W 18TH St
Lawrence, KS 66047-2090
Phone (785) 832-2865

Hospital & facility affiliations

  • LMH Hospital, Lawrence, KS, CCN 170137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-03176KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Family Practice Center, PA CurrentSince Nov 1, 2025 Accepting new patients

Locations

4951 W 18th St
Lawrence, KS 66047
Phone (785) 832-2865

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECABDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECABDD/Endpoint/ECABDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1033638820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SHADY LN",
            "city": "OSAWATOMIE",
            "state": "KS",
            "postal_code": "660641713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 W 18TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472090",
            "telephone_number": "785-841-6540",
            "fax_number": "785-841-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSETT",
        "first_name": "BENJAMIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-13",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-03176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEN",
            "last_name": "DORSETT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.