BENJAMIN DORSETT (PA-C) – Physician Assistant, NPI 1033638820

BENJAMIN DORSETT (PA-C) is a healthcare provider. based in Osawatomie, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 15-03176 (KS). The NPI Number for BENJAMIN DORSETT (PA-C) is 1033638820

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN DORSETT (PA-C)
NPI
1033638820
Phone
(913) 256-8897
Address
109 SHADY LN
Enumeration Date
13 September 2017
Last Update Date
15 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7858322865
Graduation Year
2024 (2 years ago)
PAC ID
6709372451
Group Practice PAC ID
8426021684
Professional Enrollment ID
I20251231003128
Address ID
KS660472090LA4951XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

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Provider Addresses for BENJAMIN DORSETT (PA-C)

  • 109, Shady Lane, Osawatomie, Miami County, Kansas, 66064, United States

    OSAWATOMIE, KS 660641713

    Phone: (913) 256-8897

    Type: Location

  • 4951 W 18TH ST

    LAWRENCE, KS 660472090

    Phone: (785) 841-6540

    Fax: (785) 841-3129

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251231003128IPhysician AssistantKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66064)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426021684View full group profile
NameSpecialtyState
Family PracticeKS
-IA
Family PracticeKS
Family PracticeKS
-KS
Nurse PractitionerKS
Physician AssistantKS
Family PracticeKS
Family PracticeKS
Physician AssistantKS

Reviews

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Frequently asked questions

What federal number belongs to BENJAMIN DORSETT (PA-C)?
The federal identifier for BENJAMIN DORSETT (PA-C) is NPI 1033638820.
Does this profile mean BENJAMIN DORSETT (PA-C) is currently active?
Yes — BENJAMIN DORSETT (PA-C) appears active in the national provider directory.
Does BENJAMIN DORSETT (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for BENJAMIN DORSETT (PA-C). Clinical services aligned with this taxonomy classification.
Does BENJAMIN DORSETT (PA-C) practice in Kansas?
You will see Osawatomie, Kansas on file for BENJAMIN DORSETT (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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