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

Tina M L Botsford, MSN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1255974358

Tina M L Botsford, MSN, FNP-BC is a Nurse Practitioner in Mount Pleasant, Wisconsin. Qualified in 2019, 7 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2019
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

3811 Spring St
Mount Pleasant, WI 53405-1667
Phone: (262) 498-1773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 969333 (WI)

Record details

NPI number1255974358
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-BC
Sole proprietorNo
NPI enumeratedOctober 21, 2019
Last updated in NPPESOctober 21, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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