BRANDON JAMES NIEBUHR
NPI 1265328579
Nurse Anesthetist, Certified Registered in Janesville, WI

Q: What is Brandon Niebuhr's NPI number?

The NPI number for Brandon Niebuhr is 1265328579. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Q: What is Brandon Niebuhr'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 Brandon Niebuhr was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 June 13, 2025PECOS EnrolledAccepts Medicare Assignment

3400 E RACINE ST, JANESVILLE, WI 53546(608) 373-8000(608) 373-8795 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Brandon James Niebuhr NPPES

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

BRANDON JAMES NIEBUHR (NPI 1265328579) is an individual nurse anesthetist, certified registered in Janesville, Wisconsin, licensed in Wisconsin (153647) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1265328579

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBRANDON JAMES NIEBUHR

Location Address3400 E RACINE STJanesville, WI 53546-2344

Mailing Address10104 W Cleveland AveWest Allis, WI 53227-3346 · (414) 690-4415

Phone(608) 373-8000

Fax(608) 373-8795

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 13, 2025

Last NPPES UpdateAugust 22, 2025

NPPES CertifiedAugust 22, 2025

✔ NPI 1265328579 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 · 153647

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.

3400 E RACINE ST, Janesville, WI 53546

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Secondary Practice Location 1

Location 1700 S Park StMadison, WI 53715-1830 · Phone (608) 251-6100

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

Brandon James Niebuhr 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 ID1456852300

PECOS Enrollment IDI20250902000168

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 Reassignment

Medicare enrollment records show Brandon Niebuhr reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dean Health Systems, Inc

34 mi

Allergy & Immunology

1211 FISH HATCHERY RD
Madison, WI 53715

Reassigned Medicare billing, Wisconsin enrollment
1,377 clinicians in this Medicare group

NPI 1053358846 (608) 252-8000

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 2

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520208

Location3400 East Racine StreetJanesville, WI 53546 · Rock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53546 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.

SSM HEALTH CARE OF WISCONSIN, INC.

Durable Medical Equipment & Medical Supplies