TINA M L BOTSFORD MSN, FNP-BC
NPI 1255974358
Nurse Practitioner - Family in Mount Pleasant, WI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Tina Botsford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, WIPhysician 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.
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.
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.
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.
Which organization bills Medicare for Tina Botsford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Botsford reassigns Medicare benefits to Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tina Botsford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tina M L Botsford, MSN, FNP-BC · NPI 1255974358
Family physician in Mount Pleasant, Wisconsin. Individual provider, active in the CMS NPPES registry since October 21, 2019.
## Identity
- **NPI:** 1255974358 (Entity type: Individual)
- **Enumerated:** October 21, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 969333 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3811 SPRING ST, Mount Pleasant, WI 53405-1667
- **Phone:** (262) 498-1773
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ascension Medical Group-Southeast Wisconsin Inc (NPI 1194473066, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 21, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1255974358) · Data from the CMS NPPES public registry.