GENNA MARIE LOCKE
NPI 1902537848
Physician Assistant in Madison, WI

Q: What is Genna Locke's NPI number?

The NPI number for Genna Locke is 1902537848. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Q: What is Genna Locke'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 Genna Locke was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 21, 2022PECOS Enrolled

750 UNIVERSITY ROW, MADISON, WI 53705(608) 890-5090 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2026, Nov 20, 2023 (2 updates tracked since 2023).

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About Genna Marie Locke NPPES

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

GENNA MARIE LOCKE (NPI 1902537848) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (8739) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1902537848

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameGENNA MARIE LOCKE

Location Address750 UNIVERSITY ROWMadison, WI 53705-1311

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 890-5090

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 21, 2022

Last NPPES UpdateJune 5, 20262 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1902537848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in WI · 8739✔ Licensed in OR · PA218007

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

750 UNIVERSITY ROW, Madison, WI 53705

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Secondary Practice Locations 2

Location 12870 NE West Devils Lake RdLincoln City, OR 97367-5127 · Phone (541) 994-9191

Location 2921 S 8th Ave Stop 8253Pocatello, ID 83209-8420 · Phone (208) 282-4726

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genna Marie Locke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315393899

PECOS Enrollment IDI20260324003065

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53705 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

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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 20

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

KIMBERLY E DANIEL M.D.

Internal Medicine (Hepatology)