Lora Benjamin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PENDING Issued in MI

Practice address

200 N Caledonia Dr
Owosso, MI 48867-8844

Phone

(989) 729-4848

Fax

(989) 729-4849

NPI assigned

Dec 8, 2020

Last updated

Aug 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Physician Assistant

Education

Central Michigan College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinton County Medical Center PCGroup PAC ID 8224923818, 27 clinicians

Outpatient Urgent Care HealthcenterGroup PAC ID 8729395132, 11 clinicians

Mymichigan Medical Center GladwinGroup PAC ID 0143262915, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbenjamin125459@mymichiganhealth.midirect.net
• Direct secure messaging: lorabenjamin@ouchuc.allscriptsdirect.net

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.

• Outpatient Urgent Care Healthcenter

  • Urgent Care Clinic/Center
  • Saint Johns, MI
  • NPI 1376925453
  Medicare reassignment Care Compare group NPD
• Clinton County Medical Center PC

  • Family Medicine Physician
  • Saint Johns, MI
  • NPI 1861486938
  Medicare reassignment Care Compare group
• Mymichigan Medical Center Gladwin

  • General Practice Physician
  • Gladwin, MI
  • NPI 1881869774
  Medicare reassignment Care Compare group
• Great Lakes Bay Health Centers

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
  • NPI 1871684761
  Medicare reassignment NPD
• Mymichigan Medical Center Clare

  dba MidMichigan Urgent Care - Clare

  • Urgent Care Clinic/Center
  • Clare, MI
  • NPI 1225081862
  Medicare reassignment NPD
• Mymichigan Medical Center Alma

  • Emergency Medicine Physician
  • Alma, MI
  • NPI 1568914422
  Medicare reassignment
• Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
  • NPI 1205889490
  Medicare reassignment
• Clinton County Medical Center PC

  • Rural Health Clinic/Center
  • Carson City, MI
  • NPI 1285408419
  NPD
• Exclusive Physical Therapy Inc

  • Physical Therapist
  • Lansing, MI
  • NPI 1275570186
  NPD
• Great Lakes Bay Health Centers

  dba Great Lakes Bay Health Centers Integrated Care Midland

  • Federally Qualified Health Center (FQHC)
  • Midland, MI
  • NPI 1609609536
  NPD
• Mymichigan Medical Center Alma

  • Family Medicine Physician
  • Alma, MI
  • NPI 1265596126
  NPD
• Mymichigan Medical Center Alma

  dba Alma Urgent Care

  • Family Medicine Physician
  • Alma, MI
  • NPI 1396784880
  NPD

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1477159200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7673 W HIDDEN LK",
            "city": "PERRY",
            "state": "MI",
            "postal_code": "488728147",
            "telephone_number": "517-282-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N CALEDONIA DR",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488678844",
            "telephone_number": "989-729-4848",
            "fax_number": "989-729-4849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7673 W Hidden Lk",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "MI",
            "postal_code": "488728147",
            "country_code": "US",
            "telephone_number": "517-282-2720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Court St",
            "address_purpose": "LOCATION",
            "city": "West Branch",
            "state": "MI",
            "postal_code": "486619390",
            "country_code": "US",
            "telephone_number": "989-345-8130",
            "fax_number": "989-345-8129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "LORA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Bellhorn, LLBSW
• Lila Rose Belmer
• Amy Bendall
• Jessica Bender
• Carlie M Beningo, PA
• Ryann Danielle Benner
• Stephanie Bennett
• Susan Marie Bennett
• Carol Berger, MA, LLPC
• Daniel Bernard

• Physician Assistant in Owosso, MI
• Providers in Owosso, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.