MR. BENJAMIN T SKUBAL
NPI 1104135508
Nurse Anesthetist, Certified Registered in West Bend, WI

Q: What is Benjamin Skubal's NPI number?

The NPI number for Benjamin Skubal is 1104135508. It was assigned to this individual provider in the NPPES registry on October 2, 2010.

Q: What is Benjamin Skubal's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Skubal was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 02, 2010Accepts Medicare Assignment

3200 PLEASANT VALLEY RD, WEST BEND, WI 53095(262) 836-7300(262) 836-7301 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Benjamin T Skubal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BENJAMIN T SKUBAL (NPI 1104135508) is an individual nurse anesthetist, certified registered in West Bend, Wisconsin, licensed in Wisconsin (085261) and active in the NPI registry since October 2010. He is affiliated with Froedtert Memorial Lutheran Hospital, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1104135508

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. BENJAMIN T SKUBAL

Location Address3200 PLEASANT VALLEY RDWest Bend, WI 53095-9274

Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-2764 · Fax (414) 777-4870

Phone(262) 836-7300

Fax(262) 836-7301

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateOctober 2, 2010

Last NPPES UpdateApril 25, 2024

NPPES CertifiedApril 25, 2024

✔ NPI 1104135508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in WI · 085261

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

3200 PLEASANT VALLEY RD, West Bend, WI 53095

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Secondary Practice Locations 2

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-2764 · Fax (414) 777-4870

Location 23212 Pleasant Valley RdWest Bend, WI 53095-9274 · Phone (262) 836-7300 · Fax (262) 836-7301

Other Identifiers 1

Medicaid1104135508WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Benjamin T Skubal is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113107616

PECOS Enrollment IDI20110215000533

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABDEL HAI ISMAIL ALQWASMI M.D

Internal Medicine (Hematology & Oncology)

3200 PLEASANT VALLEY RD, DIVISION OF NEOPLASTIC DISEASES
WEST BEND, WI 53095

Washington County (262) 836-7200

MARY OGNENOFF OTR

Occupational Therapist