NPIMap

Individual provider Active NPI

Bennett H. Lee, PA-C

  • Medical Physician Assistant
  • Rochester Hills, MI
National Provider Identifier
1235532623
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601007108 Issued in MI
Practice address
1460 Walton Blvd
Rochester Hills, MI 48309-1768
Phone
(248) 650-1800
NPI assigned
Sep 30, 2014
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601007108 MI Primary

Addresses

Primary practice location

1460 Walton Blvd
Rochester Hills, MI 48309-1768

Mailing address

1097 Great Oaks Blvd
Rochester, MI 48307-1016
Phone (248) 752-6886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141007002294 MI Practitioner - Physician Assistant 3971723388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brian T Gietzen MD PCGroup PAC ID 0840224564, 5 clinicians
Premier Physicians Care, PLLCGroup PAC ID 0547327587, 7 clinicians

Practice addresses (Care Compare)

1460 Walton
Suite 200
Rochester Hills, MI 48309-1779
Phone (248) 650-1800

1460 Walton Blvd
Rochester Hills, MI 48309-1779

37674 Avon LN
Farmington Hills, MI 48331-3089
Phone (248) 556-4450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.07 of 100Reported as group
Quality
70.44
Improvement activities
40
Cost
54.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601007108MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physicians Care, PLLC CurrentSince Jan 20, 2026 Accepting new patients
Care Solutions Group, LLC CurrentSince Jan 20, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lbennett297851@direct.hfhs.org

Organizations & group practices 3

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1235532623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 GREAT OAKS BLVD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071016",
            "telephone_number": "248-752-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091768",
            "telephone_number": "248-650-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BENNETT",
        "middle_name": "H.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601007108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.