BETKENS TRISTAN SENESCA (PA-C) – Medical Physician Assistant, NPI 1154185411

BETKENS TRISTAN SENESCA (PA-C) is a healthcare provider. based in Villa rica, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for BETKENS TRISTAN SENESCA (PA-C) is 1154185411

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
BETKENS TRISTAN SENESCA (PA-C)
NPI
1154185411
Phone
(678) 615-0082
Address
2012 CLUB BAY DR
Enumeration Date
7 February 2024
Last Update Date
7 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4706246793
Graduation Year
2023 (3 years ago)
PAC ID
4587106976
Group Practice PAC ID
7517126279
Professional Enrollment ID
I20250911003988
Address ID
GA301574911DA500XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for BETKENS TRISTAN SENESCA (PA-C)

  • 2012 CLUB BAY DR

    VILLA RICA, GA 301805138

    Phone: (678) 615-0082

    Type: Mailing

  • 1500 RED RIVER ST

    AUSTIN, TX 787011918

    Phone: (678) 615-0082

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $380.

Total Amount is formed as General ($380) + Research ($0) + Ownership ($0) = $380.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABBVIE INC. ($147).

Total Amount

$380

General + Research + Ownership

Payments

12

Total payment records

General Amount

$380

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250911003988IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30180)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517126279View full group profile
NameSpecialtyState
Physician AssistantNC
Physician AssistantGA
Nurse PractitionerFL
Emergency Medicine, Family PracticeGA
-GA
Family PracticeGA
Physician AssistantGA
Family PracticeNJ
-GA
Physician AssistantGA

Reviews

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Frequently asked questions

How is BETKENS TRISTAN SENESCA (PA-C) identified in CMS data?
CMS-hosted NPPES data lists BETKENS TRISTAN SENESCA (PA-C) with NPI 1154185411.
Is BETKENS TRISTAN SENESCA (PA-C) listed as active for patients and plans?
The listing shows BETKENS TRISTAN SENESCA (PA-C) as active in the NPI system.
What is BETKENS TRISTAN SENESCA (PA-C)'s primary classification?
Medical Physician Assistant is the headline specialty for BETKENS TRISTAN SENESCA (PA-C) here. Clinical services aligned with this taxonomy classification.
Does BETKENS TRISTAN SENESCA (PA-C) list a practice location?
Patients near Villa Rica, Georgia may find BETKENS TRISTAN SENESCA (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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