AMBER RAE BLADORN NP
NPI 1235724170
Nurse Practitioner in Jefferson, WI
About Amber Rae Bladorn Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMBER RAE BLADORN NP (NPI 1235724170) is an individual nurse practitioner in Jefferson, Wisconsin, licensed in Wisconsin (155084) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Amber Rae Bladorn Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Amber Bladorn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jefferson, WI 53549
- Reassigned Medicare billing, Wisconsin enrollment
- 10 clinicians in this Medicare group
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
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.
University Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53549 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Amber Bladorn's NPI number?
The NPI number for Amber Bladorn is 1235724170. It was assigned to this individual provider in the NPPES registry on March 3, 2021. The provider is also known as Amber Opsahl.
Where is Amber Bladorn located?
Amber Bladorn practices at 147 W Rockwell St, Jefferson, WI 53549. The listed phone number is (920) 674-6255.
What is Amber Bladorn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Amber Bladorn enrolled in Medicare?
Yes. Amber Bladorn 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 Amber Bladorn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amber Bladorn reassigns Medicare benefits to 2 organizations: Rainbow Hospice Care, Inc. (Jefferson, WI) and University Of Wisconsin Medical Foundation, Inc (Middleton, 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 Amber Bladorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Amber Bladorn affiliated with any hospitals?
According to CMS data, Amber Bladorn is affiliated with University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Amber Bladorn was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.
# Amber Rae Bladorn, NP · NPI 1235724170
Nurse Practitioner physician in Jefferson, Wisconsin. Individual provider, active in the CMS NPPES registry since March 3, 2021.
## Identity
- **NPI:** 1235724170 (Entity type: Individual)
- **Enumerated:** March 3, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 155084 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 147 W ROCKWELL ST, Jefferson, WI 53549-2048
- **Phone:** (920) 674-6255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rainbow Hospice Care, Inc. (NPI 1538134499, Jefferson, WI); University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235724170) · Data from the CMS NPPES public registry.