Individual provider Active NPI

Lisa Joan Bence, NP

  • Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1891154829
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704290506 Issued in MI
Practice address
1100 E Michigan Ave Ste 307
Jackson, MI 49201-1850
Phone
(517) 205-1594
Fax
(517) 205-1540
NPI assigned
Feb 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704290506 MI Primary

Addresses

Primary practice location

1100 E Michigan Ave Ste 307
Jackson, MI 49201-1850

Mailing address

1100 E Michigan Ave Ste 307
Jackson, MI 49201-1850
Phone (517) 205-1594

Other names 1

  • Lisa Rojas Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lrojas452919@direct.hfhs.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160819001636 MI Practitioner - Nurse Practitioner 2567757297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1100 E Michigan Ave
Jackson, MI 49201-1850
Phone (517) 205-1594

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704290506MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Foote Memorial Hospital, Inc Nurse Practitioner CurrentSince Jul 2, 2016 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jul 2, 2016 Accepting new patients

Locations

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1100 E Michigan Ave
Ste 307
Jackson, MI 49201
Phone (517) 205-1594

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1891154829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E MICHIGAN AVE STE 307",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011850",
            "telephone_number": "517-205-1594",
            "fax_number": "517-205-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MICHIGAN AVE STE 307",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011850",
            "telephone_number": "517-205-1594",
            "fax_number": "517-205-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCE",
        "first_name": "LISA",
        "middle_name": "JOAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704290506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lrojas452919@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "1100 E Michigan Ave Ste 307",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492011850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ROJAS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.