Bernice Li, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601010179 Issued in MI

Practice address

5333 McAuley Dr RM 5001
Ypsilanti, MI 48197-1020

Phone

(734) 712-2323

NPI assigned

Sep 29, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Center for Plastic Surgery Ann Arbor, P.C.

  • Plastic Surgery Physician
  • Ypsilanti, MI
  • NPI 1841219037
  NPD

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1609483080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 5001",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 5001",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971020",
            "telephone_number": "734-712-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15120 Michigan Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "48126",
            "country_code": "US",
            "telephone_number": "313-843-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "BERNICE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Fredrick Lewis
• Ariel Lewis
• Christina Lewis
• Kyle Lewis
• Tamera Lewis, CPSS
• Guantong Li, R.AC
• Lindsey Suarez Liber, CCC-SLP
• Liberation Centered Healing, LLC
• Haylee Liddy
• Emily Lieberman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.