Betsy Martin Devine, PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

421 Issued in WI

Practice address

601 Handeyside LN
Fort Atkinson, WI 53538-1273

Phone

(920) 563-5544

Fax

(920) 563-8884

NPI assigned

Mar 14, 2006

Last updated

Jun 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Wisconsin Medical Foundation, Inc

  • Health Educator
  • Madison, WI
  • NPI 1487414082
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1548238686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HANDEYSIDE LN",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381273",
            "telephone_number": "920-563-5544",
            "fax_number": "920-563-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN DEVINE",
        "first_name": "BETSY",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth H Lynk, MD
• Matthew Walter Maciejewski, DPM
• Jill Mallin, PHD, LP
• Matthew Mallin, LCSW
• Stephen Randall Marion, OD
• Emma Yvonne Martin, LPC-IT
• James Paul Martin, MD MPH
• Katherine Louise Martin, MS
• Lauren P Mayer, APNP
• Kimberlee Sue McCrea, PT

• Medical Physician Assistant in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.