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BETSY REVERS DO
NPI 1609516038
Family Medicine in Antigo, WI

Active since April 01, 2022PECOS Enrolled
110 E 5TH AVE, ANTIGO, WI 54409(715) 623-2351 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2026, May 29, 2025 (2 updates tracked since 2025).

About Betsy Revers Do NPPES

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

BETSY REVERS DO (NPI 1609516038) is an individual family medicine provider in Antigo, Wisconsin, licensed in Wisconsin (8163221) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2022).

NPPES Registry Identity

NPI1609516038
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBETSY REVERSCredential: DO
Location Address110 E 5TH AVEAntigo, WI 54409-2710
Mailing AddressN5352 County Road VBryant, WI 54418-9790 · (414) 388-0535
Phone(715) 623-2351
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2022
Enumeration DateApril 1, 2022
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1609516038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 8163221
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
110 E 5TH AVE, Antigo, WI 54409
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Betsy Revers Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557870953
PECOS Enrollment IDI20260902003499
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Betsy Revers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin
Same address
Critical Access
112 E 5TH AVE
Antigo, WI 54409
  • Reassigned Medicare billing, Wisconsin enrollment
  • 321 clinicians in this Medicare group
NPI 1639187412 (715) 623-2331
Aspirus Medical Group, Inc.
1.6 mi
Clinic/Center
2215 PROGRESS BLVD
Antigo, WI 54409
  • Reassigned Medicare billing, Wisconsin enrollment
  • 415 clinicians in this Medicare group
NPI 1255413274 (715) 623-2351

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54409 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.

Other Providers at the Same Location NPPES 18

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

BONNIE J HESSEDAL RD
Dietitian, Registered
110 E 5TH AVE
ANTIGO, WI 54409
Langlade County (715) 623-2351
KATHLEEN M BENDER R.D.
Dietitian, Registered
110 E 5TH AVE
ANTIGO, WI 54409
Langlade County (715) 623-2351
ANGELA BUCHMAN PA
Physician Assistant
110 E 5TH AVE
ANTIGO, WI 54409
Langlade County (715) 623-2351
JOLENE M KOPPLIN NP
Nurse Practitioner
110 E 5TH AVE
ANTIGO, WI 54409
Langlade County (715) 623-2351
ANDREA L PENNINGTON PA
Physician Assistant
110 E 5TH AVE
ANTIGO, WI 54409
Langlade County (715) 623-2351
ROSS TRECARTIN MD
Family Medicine
110 E 5TH AVE
ANTIGO, WI 54409
Langlade County (715) 623-2351
BARTLEY R KNEELAND MD
Family Medicine
110 E 5TH AVE
ANTIGO, WI 54409
Langlade County (715) 623-2351
NATHANIEL JOSEPH RETRUM PA-C
Physician Assistant (Medical)
110 E 5TH AVE
ANTIGO, WI 54409
Langlade County (715) 623-2351

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 Betsy Revers's NPI number?

The NPI number for Betsy Revers is 1609516038. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Betsy Revers located?

Betsy Revers practices at 110 E 5th Ave, Antigo, WI 54409. The listed phone number is (715) 623-2351.

What is Betsy Revers's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Betsy Revers enrolled in Medicare?

Yes. Betsy Revers is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Betsy Revers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Betsy Revers reassigns Medicare benefits to 2 organizations: Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin (Antigo, WI) and Aspirus Medical Group, Inc. (Antigo, WI). Each 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 Betsy Revers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Betsy Revers accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Betsy Revers 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.

When was this NPI record last updated?

The NPPES record for Betsy Revers was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.