Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. BRIAN CHARLES DEWITT PA
NPI 1184979676
Physician Assistant - Medical in Minocqua, WI

Q: What is Brian Dewitt's NPI number?

The NPI number for Brian Dewitt is 1184979676. It was assigned to this individual provider in the NPPES registry on July 20, 2012.

Q: What is Brian Dewitt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Brian Dewitt was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 20, 2012PECOS Enrolled

9576 HWY 70, MINOCQUA, WI 54548(715) 358-1803(715) 358-1316 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2026, Nov 14, 2024, Mar 19, 2021 and 1 more (4 updates tracked since 2016).

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About Mr. Brian Charles Dewitt Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRIAN CHARLES DEWITT PA (NPI 1184979676) is an individual medical provider in Minocqua, Wisconsin, licensed in Wisconsin (8014) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Minocqua, and maintains a secondary practice location in Onamia.

NPPES Registry Identity

NPI1184979676

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. BRIAN CHARLES DEWITTCredential: PA

Location Address9576 HWY 70Minocqua, WI 54548-9067

Mailing Address1000 N Oak AveMarshfield, WI 54449-5702 · (715) 387-5511

Phone(715) 358-1803

Fax(715) 358-1316

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 20, 2012

Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1184979676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in WI · 8014✔ Licensed in MN · 1766

Also ListedPhysician AssistantTaxonomy 363A00000X · License 11169 (MN)

9576 HWY 70, Minocqua, WI 54548

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Secondary Practice Location 1

Location 1200 Elm St NOnamia, MN 56359-7901 · Phone (320) 532-3154 · Fax (320) 532-3111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Brian Charles Dewitt Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375792815

PECOS Enrollment IDI20241016002201

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

46 services45 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520212

Location9576 Highway 70Minocqua, WI 54548 · Oneida County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

10 suppliers122 claims122 services$37.37 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers51 claims51 services$89.52 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

6 suppliers48 claims99 services$30.23 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers46 claims190 services$18.16 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers20 claims69 services$13.33 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers91 claims91 services$50.78 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN E SIMMONS PA

Physician Assistant