Diane L. Billmyer, P.A.
Individual provider Active NPI Physician Assistant · Mount Pleasant, WI
NPI 1891729224 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1891729224
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 910 (WI)
- Practice address
- 13250 Washington Ave
Mount Pleasant, WI 53177-1516 - Phone
- (888) 720-2012
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040119000076 | WI | Practitioner - Physician Assistant | 1153222500 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 910 | WI | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
248 McHenry St
Burlington, WI 53105
Phone (262) 767-8000
10117 74th St
Ste 110
Kenosha, WI 53142
Phone (262) 697-1919
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
8400 Washington Ave
Mount Pleasant, WI 53406
Phone (262) 231-3000
13250 Washington Ave
Mount Pleasant, WI 53177
Phone (262) 799-8330
6611 Spring St
Mount Pleasant, WI 53406
Phone (262) 504-3100
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
Interoperability endpoints
- dbillmyer39109@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 910 | WI | Yes |
Addresses
Primary practice location
13250 Washington Ave
Mount Pleasant, WI 53177-1516
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42964600 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | dbillmyer39109@direct.myadvocateaurora.org | Direct |
Other providers in Mount Pleasant, WI
- Jonathan Robert Bernhardt
- Beta Diagnostic Labs LLC
- Beta One Health LLC
- Sanaa Bhimji
- Karla J Bidstrup
- Shana Blackman
- Allison Marie Blonski
- Daniel Blonsky
- Kristine Blumm
- Czaka Bogan
All providers in Mount Pleasant, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.