TINA M L BOTSFORD MSN, FNP-BC
NPI 1255974358
Nurse Practitioner - Family in Mount Pleasant, WI

Active since October 21, 2019PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3811 SPRING ST, MOUNT PLEASANT, WI 53405(262) 498-1773 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tina M L Botsford Msn, Fnp-bc NPPES

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

TINA M L BOTSFORD MSN, FNP-BC (NPI 1255974358) is an individual family provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (969333) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255974358
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA M L BOTSFORDCredential: MSN, FNP-BC
Location Address3811 SPRING STMount Pleasant, WI 53405-1667
Mailing Address1682 Echo LnRacine, WI 53406-4802 · (262) 498-1773
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 21, 2019
NPI 1255974358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 969333
3811 SPRING ST, Mount Pleasant, WI 53405

Accepted 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

Tina M L Botsford Msn, Fnp-bc 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 ID6800228982
PECOS Enrollment IDI20191111001533
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 12

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.
62 services44 patients
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.
47 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services36 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
36 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services26 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
27 services14 patients

Hospital Affiliations CMS Care Compare

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

Anesthesiology
3811 SPRING ST
RACINE, WI 53405
Surgery
3811 SPRING ST, SUITE 201
RACINE, WI 53405
Physical Therapist
3811 SPRING ST
MOUNT PLEASANT, WI 53405
Physical Therapist
3811 SPRING ST
MOUNT PLEASANT, WI 53405
Audiologist
3811 SPRING ST, SUITE 303
RACINE, WI 53405
Physician Assistant
3811 SPRING ST, SUITE 201
RACINE, WI 53405
Urology
3811 SPRING ST
RACINE, WI 53405
Surgery
3811 SPRING ST, SUITE 201
RACINE, WI 53405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Botsford's NPI number?

The NPI number for Tina Botsford is 1255974358. It was assigned to this individual provider in the NPPES registry on October 21, 2019.

Where is Tina Botsford located?

Tina Botsford practices at 3811 Spring St, Mount Pleasant, WI 53405. The listed phone number is (262) 498-1773.

What is Tina Botsford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tina Botsford enrolled in Medicare?

Yes. Tina Botsford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tina Botsford accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Tina Botsford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tina Botsford affiliated with any hospitals?

According to CMS data, Tina Botsford is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Tina Botsford was last updated on October 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.