Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genna Marie Locke

Individual provider Physician Assistant · NPI 1902537848

Genna Marie Locke is a Physician Assistant in Madison, Wisconsin. Qualified in 2023, 3 years ago. Works from 3 locations. Licensed in Oregon and Wisconsin.

Years since qualifying
3
Licensed in
OR, WI
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

750 University Row
Madison, WI 53705-1311
Phone: (608) 890-5090
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Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 921 S 8th Ave Stop 8253, Pocatello, ID 83209-8420 — (208) 282-4726
  • 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 — (541) 994-9191

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8739 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X · Licence PA218007 (OR)

Record details

NPI number1902537848
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2022
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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