Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kirk Bennett, PA-C

Individual provider Physician Assistant · NPI 1194382077

Kirk Bennett, PA-C is a Physician Assistant in Mesa, Arizona. Graduated from Wayne State University School of Medicine in 2019, 7 years ago. Practices with Independent Observation Physicians PLLC, a 136-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, California and Michigan.

Years since qualifying
7
Trained at
Wayne State University School of Medicine
Licensed in
AZ, CA, MI
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

835 W University Dr
Mesa, AZ 85201-5555
Phone: (480) 664-6007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 259 Mack Ave, Detroit, MI 48201 — (313) 577-1716

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 62204 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 9503 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 5601009199 (MI)

Record details

NPI number1194382077
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 25, 2019
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address835 W University Dr, Mesa, AZ 85201-5555

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Independent Observation Physicians Pllc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Mesa