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BLAKE ANDREW WAREHAM
NPI 1518855907
Physician Assistant in Milwaukee, WI

Active since June 25, 2025PECOS Enrolled
507 N 17TH ST, MILWAUKEE, WI 53233(414) 288-5688 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Blake Andrew Wareham NPPES

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

BLAKE ANDREW WAREHAM (NPI 1518855907) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Illinois (085.011867) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1518855907
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBLAKE ANDREW WAREHAM
Location Address507 N 17TH STMilwaukee, WI 53233-2104
Mailing Address507 N 17th StMilwaukee, WI 53233-2104
Phone(414) 288-5688
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 25, 2025
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1518855907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.011867
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.
507 N 17TH ST, Milwaukee, WI 53233
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Andrew Wareham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395218523
PECOS Enrollment IDI20260629001078
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 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.

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. LORELLE PATRICIA KIECKER PA
Physician Assistant
507 N 17TH ST
MILWAUKEE, WI 53233
Milwaukee County (715) 781-9731
GINA HENDERSON
Student in an Organized Health Care Education/Training Program
507 N 17TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 288-5688
JENNIFER KIRBY
Student in an Organized Health Care Education/Training Program
507 N 17TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 288-5688
KATHRYN HAND
Student in an Organized Health Care Education/Training Program
507 N 17TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 288-5688
MR. JAMES ANTHONY ALVARADO III PA-C
Physician Assistant
507 N 17TH ST
MILWAUKEE, WI 53233
Milwaukee County (562) 972-9968
LINDSAY KING
Student in an Organized Health Care Education/Training Program
507 N 17TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 288-5688
SARAH CATHERINE JOHNSTON
Student in an Organized Health Care Education/Training Program
507 N 17TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 288-5688
KATHRYN TAYLOR WAITKUS
Student in an Organized Health Care Education/Training Program
507 N 17TH ST
MILWAUKEE, WI 53233
Milwaukee County (920) 912-5433

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 Blake Wareham's NPI number?

The NPI number for Blake Wareham is 1518855907. It was assigned to this individual provider in the NPPES registry on June 25, 2025.

Where is Blake Wareham located?

Blake Wareham practices at 507 N 17th St, Milwaukee, WI 53233. The listed phone number is (414) 288-5688.

What is Blake Wareham's specialty?

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

Is Blake Wareham enrolled in Medicare?

Yes. Blake Wareham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blake Wareham was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.