KYLE RAYMOND BLINDAUER PA-C
NPI 1700343753
Physician Assistant in Pewaukee, WI

Q: What is Kyle Blindauer's NPI number?

The NPI number for Kyle Blindauer is 1700343753. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Q: What is Kyle Blindauer'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 Kyle Blindauer was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 February 26, 2019PECOS EnrolledAccepts Medicare Assignment

N15W28300 GOLF RD, PEWAUKEE, WI 53072(262) 303-5055(262) 303-5057 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2024, Sep 23, 2024, Feb 26, 2019 (3 updates tracked since 2019).

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About Kyle Raymond Blindauer Pa-c NPPES

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

KYLE RAYMOND BLINDAUER PA-C (NPI 1700343753) is an individual physician assistant in Pewaukee, Wisconsin, licensed in Wisconsin (8140-23) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1700343753

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKYLE RAYMOND BLINDAUERCredential: PA-C

Location AddressN15W28300 GOLF RDPewaukee, WI 53072-4800

Mailing AddressN15w28300 Golf RdPewaukee, WI 53072-4800 · (262) 303-5055 · Fax (262) 303-5057

Phone(262) 303-5055

Fax(262) 303-5057

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 26, 2019

Last NPPES UpdateOctober 11, 20243 updates tracked since enumeration

NPPES CertifiedOctober 11, 2024

✔ NPI 1700343753 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 WI · 8140-23

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.

N15W28300 GOLF RD, Pewaukee, WI 53072

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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

Kyle Raymond Blindauer 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 ID7810423373

PECOS Enrollment IDI20241206001520

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.

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 53072 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.

THE ORTHOPAEDIC SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)