MRS. BETSY J WACKER PAC
NPI 1790870079
Physician Assistant in Stanley, WI

Q: What is Betsy Wacker's NPI number?

The NPI number for Betsy Wacker is 1790870079. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Betsy Wacker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Betsy Wacker was last updated on June 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 04, 2006

1120 PINE ST, STANLEY, WI 54768(715) 644-5530(715) 644-6223 Get Directions Write a Review

NPPES record last updated: June 9, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Betsy J Wacker Pac NPPES

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

MRS. BETSY J WACKER PAC (NPI 1790870079) is an individual physician assistant in Stanley, Wisconsin, licensed in Wisconsin (1206) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1790870079

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. BETSY J WACKERCredential: PAC

Location Address1120 PINE STStanley, WI 54768-1297

Mailing Address1120 Pine StStanley, WI 54768-1297 · (715) 644-5530 · Fax (715) 644-6223

Phone(715) 644-5530

Fax(715) 644-6223

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateJune 9, 2010

✔ NPI 1790870079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 1206

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1120 PINE ST, Stanley, WI 54768

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Other Identifiers 3

Medicare UPINS74262

Medicare PIN018300507WI

Medicaid42989100WI

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.

ASPIRUS STANLEY HOSPITAL & CLINICS, INC.

General Acute Care Hospital (Critical Access)