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

Lisa Kaye Bowersox, PA-C

Individual provider Physician Assistant · NPI 1942372255

Lisa Kaye Bowersox, PA-C is a Physician Assistant in Petoskey, Michigan. Qualified in 2003, 23 years ago. Practices with Derm Institute of West Michigan PLC, a 9-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2006
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

311 W Mitchell St
Petoskey, MI 49770-2327
Phone: (616) 326-0114
Fax: (231) 487-6172
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004147 (MI)

Record details

NPI number1942372255
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 14, 2006
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Derm Institute Of West Michigan Plc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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