Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Ayesha Massey Bennett, FNP-C

Individual provider Family Nurse Practitioner · NPI 1053895193

Mrs. Ayesha Massey Bennett, FNP-C is a Nurse Practitioner in Saint Clair Shores, Michigan. Qualified in 2018, 8 years ago. Practices with Uptiv Health Mi PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

25200 Little Mack Ave
Saint Clair Shores, MI 48081-2116
Phone: (586) 884-5656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704310793 (MI)

Record details

NPI number1053895193
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 24, 2018
Last updated in NPPESJuly 1, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Uptiv Health Mi Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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