EMILY A BOTTIANI – Student in an Organized Health Care Education/Training Program, NPI 1780317776

EMILY A BOTTIANI is a healthcare provider. based in Madison, Wisconsin. specializing in PHYSICIAN ASSISTANT. The NPI Number for EMILY A BOTTIANI is 1780317776

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
EMILY A BOTTIANI
NPI
1780317776
Phone
(805) 729-6142
Address
933 SPAIGHT ST APT 4
Enumeration Date
6 July 2022
Last Update Date
6 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
8056886171
Graduation Year
2024 (2 years ago)
PAC ID
2961912134
Group Practice PAC ID
4587711817
Professional Enrollment ID
I20250606001880
Address ID
CA934609577SA3615XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for EMILY A BOTTIANI

  • 933 SPAIGHT ST APT 4

    MADISON, WI 537033587

    Phone: (805) 729-6142

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-06

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
I20250606001880IPhysician AssistantCATBD

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 53703)

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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: 4587711817View full group profile
NameSpecialtyState
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

What unique ID ties claims to EMILY A BOTTIANI?
NPI 1780317776 is assigned to EMILY A BOTTIANI under the national enumeration system.
Is EMILY A BOTTIANI's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is EMILY A BOTTIANI?
The page reflects Student in an Organized Health Care Education/Training Program for EMILY A BOTTIANI. Clinical services aligned with this taxonomy classification.
What location metadata exists for EMILY A BOTTIANI?
The page summarizes Madison, Wisconsin for EMILY A BOTTIANI; expand the address list for detail.
How can I contact EMILY A BOTTIANI?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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