STEPHANIE NICOLE BLAHA PA-C
NPI 1366054116
Physician Assistant in Cudahy, WI

Q: What is Stephanie Blaha's NPI number?

The NPI number for Stephanie Blaha is 1366054116. It was assigned to this individual provider in the NPPES registry on August 21, 2020.

Q: What is Stephanie Blaha's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Blaha was last updated on October 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 21, 2020PECOS EnrolledAccepts Medicare Assignment

5900 S LAKE DR, CUDAHY, WI 53110(414) 489-9000(414) 489-4153 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 6, 2023, Aug 14, 2023, Nov 5, 2020 and 2 more (5 updates tracked since 2020).

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About Stephanie Nicole Blaha Pa-c NPPES

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

STEPHANIE NICOLE BLAHA PA-C (NPI 1366054116) is an individual physician assistant in Cudahy, Wisconsin, licensed in Wisconsin (5115-23) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1366054116

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSTEPHANIE NICOLE BLAHACredential: PA-C

Location Address5900 S LAKE DRCudahy, WI 53110-3171

Mailing Address5900 S Lake DrCudahy, WI 53110-3171 · (414) 489-9000 · Fax (414) 489-4153

Phone(414) 489-9000

Fax(414) 489-4153

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 21, 2020

Last NPPES UpdateOctober 6, 20235 updates tracked since enumeration

NPPES CertifiedOctober 6, 2023

✔ NPI 1366054116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in WI · 5115-23✔ Licensed in IL · 085.007939

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5900 S LAKE DR, Cudahy, WI 53110

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Secondary Practice Location 1

Location 12300 N Edward StDecatur, IL 62526-4163 · Phone (217) 876-8121

Other Identifiers 1

Medicaid100184745WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Stephanie Nicole Blaha Pa-c 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 ID4981018645

PECOS Enrollment IDI20211101000176

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

96 services49 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

49 services47 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

26 services25 patients

Hospital Affiliations CMS Care Compare

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53110 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

$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.

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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.

DR. NOEL K GARCHITORENA MD

Psychiatry & Neurology (Geriatric Psychiatry)