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

Active since October 02, 2010PECOS EnrolledAccepts 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: October 25, 2026.

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 enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and maintains 2 additional practice locations.

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Benjamin Skubal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.
14 mi
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
NPI 1568787448 (262) 255-2500
The Medical College Of Wisconsin, Inc.
23 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 677-6805
MR. MATTHEW R MUELLER CRNA
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
CHRISTOPHER JON LEICHLITER M.D.
Anesthesiology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-2400
KAITLYN SOLVESON APRN-NP
Nurse Practitioner
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-5533
JENNIFER ESSER REPPAS PA-C
Physician Assistant (Surgical)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
Durable Medical Equipment & Medical Supplies
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-3451
JANET GOLDMAN MD
Obstetrics & Gynecology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Benjamin Skubal located?

Benjamin Skubal practices at 3200 Pleasant Valley Rd, West Bend, WI 53095. The listed phone number is (262) 836-7300.

What is Benjamin Skubal's specialty?

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

Is Benjamin Skubal enrolled in Medicare?

Yes. Benjamin Skubal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Benjamin Skubal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Skubal reassigns Medicare benefits to 2 organizations: Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Skubal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Skubal accept?

Health plans from Anthem Blue Cross and Blue Shield list Benjamin Skubal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Benjamin Skubal affiliated with any hospitals?

According to CMS data, Benjamin Skubal is affiliated with Froedtert Memorial Lutheran Hospital.

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.