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MR. MICHAEL C BLANCHARD RN, APNP
NPI 1174922280
Nurse Practitioner - Acute Care in Waukesha, WI

Active since August 14, 2014PECOS EnrolledAccepts Medicare Assignment
725 AMERICAN AVE, POB SUITE 403, WAUKESHA, WI 53188(262) 928-5973(262) 549-0648 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 1, 2016, Dec 2, 2015 (2 updates tracked since 2015).

About Mr. Michael C Blanchard Rn, Apnp NPPES

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

MR. MICHAEL C BLANCHARD RN, APNP (NPI 1174922280) is an individual acute care provider in Waukesha, Wisconsin, licensed in Wisconsin (3973-33) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1174922280
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. MICHAEL C BLANCHARDCredential: RN, APNP
Location Address725 AMERICAN AVE, POB SUITE 403Waukesha, WI 53188-5031
Mailing Address721 American Ave, Pob Suite 403Waukesha, WI 53188-5071 · (262) 928-5973 · Fax (262) 549-0648
Phone(262) 928-5973
Fax(262) 549-0648
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 14, 2014
Last NPPES UpdateFebruary 1, 20162 updates tracked since enumeration
✔ NPI 1174922280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in WI · 3973-33
725 AMERICAN AVE, Waukesha, WI 53188
Open in Google Maps ↗

Other Identifiers 1

Medicare PINK400243178WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.Insurance ›

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. Michael C Blanchard Rn, Apnp 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 ID1658688932
PECOS Enrollment IDI20150918001205
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services52 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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.

MS. NATASHA JEAN PINKERTON LCSW
Social Worker (Clinical)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000
DR. FRANCISCO PEREZ M.D.
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 544-2011
ANNETTE QUINN NP
Nurse Practitioner (Obstetrics & Gynecology)
725 AMERICAN AVE, PROHEALTH CARE WOMEN'S CENTER
WAUKESHA, WI 53188
Waukesha County (262) 928-3500
ELIZABETH ROSE LEMM PA-C
Physician Assistant
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000
DR. JASON GEORGE ULRICHS M.D.
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 787-6700
DAWN MICHELLE GOODREAU NNP-BC, APNP
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (210) 685-0887
KAYLA DAVIS APNP
Nurse Practitioner (Acute Care)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000
DR. ALYSSA JELINEK
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000

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 Michael Blanchard's NPI number?

The NPI number for Michael Blanchard is 1174922280. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Michael Blanchard located?

Michael Blanchard practices at 725 American Ave Pob Suite 403, Waukesha, WI 53188. The listed phone number is (262) 928-5973.

What is Michael Blanchard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Michael Blanchard enrolled in Medicare?

Yes. Michael Blanchard 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.

What insurance does Michael Blanchard accept?

Health plans from Network Health list Michael Blanchard 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 Michael Blanchard affiliated with any hospitals?

According to CMS data, Michael Blanchard is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Blanchard was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.