BLAIR PATRICK MCCORMICK
NPI 1720900111
Nurse Practitioner - Adult Health in Waukesha, WI
About Blair Patrick Mccormick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAIR PATRICK MCCORMICK (NPI 1720900111) is an individual adult health provider in Waukesha, Wisconsin, licensed in Wisconsin (18797) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Blair Patrick Mccormick 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 Reassignment
Medicare enrollment records show Blair Mccormick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waukesha, WI 53188
- Reassigned Medicare billing, Wisconsin enrollment
- 528 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WAUKESHA, WI 53188
WAUKESHA, WI 53188
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 Blair Mccormick's NPI number?
The NPI number for Blair Mccormick is 1720900111. It was assigned to this individual provider in the NPPES registry on July 28, 2026.
Where is Blair Mccormick located?
Blair Mccormick practices at 725 American Ave, Waukesha, WI 53188. The listed phone number is (262) 928-8800.
What is Blair Mccormick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Blair Mccormick enrolled in Medicare?
Yes. Blair Mccormick 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 organization bills Medicare for Blair Mccormick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blair Mccormick reassigns Medicare benefits to Prohealth Medical Group Inc (Waukesha, WI). The 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 Blair Mccormick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blair Mccormick accept?
Health plans from UnitedHealthcare list Blair Mccormick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Blair Mccormick was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Blair Patrick Mccormick · NPI 1720900111
Adult Health physician in Waukesha, Wisconsin. Individual provider, active in the CMS NPPES registry since July 28, 2026.
## Identity
- **NPI:** 1720900111 (Entity type: Individual)
- **Enumerated:** July 28, 2026
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 18797 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 AMERICAN AVE, Waukesha, WI 53188-5031
- **Phone:** (262) 928-8800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prohealth Medical Group Inc (NPI 1629225677, Waukesha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** August 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1720900111) · Data from the CMS NPPES public registry.