BLAKE SHANAHAN MSN, APRN, NNP-BC
NPI 1760211015
Nurse Practitioner - Neonatal in Kenosha, WI
About Blake Shanahan Msn, Aprn, Nnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE SHANAHAN MSN, APRN, NNP-BC (NPI 1760211015) is an individual neonatal provider in Kenosha, Wisconsin, licensed in Wisconsin (15676-33) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blake Shanahan Msn, Aprn, Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Blake Shanahan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 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 53142 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.
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 Shanahan's NPI number?
The NPI number for Blake Shanahan is 1760211015. It was assigned to this individual provider in the NPPES registry on July 26, 2024.
Where is Blake Shanahan located?
Blake Shanahan practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-5600.
What is Blake Shanahan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Blake Shanahan enrolled in Medicare?
Yes. Blake Shanahan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Blake Shanahan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blake Shanahan reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each 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 Blake Shanahan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blake Shanahan accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health list Blake Shanahan 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 Blake Shanahan was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Blake Shanahan, MSN, APRN, NNP-BC · NPI 1760211015
Neonatal physician in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since July 26, 2024.
## Identity
- **NPI:** 1760211015 (Entity type: Individual)
- **Enumerated:** July 26, 2024
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 15676-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 10400 75TH ST, Kenosha, WI 53142-7884
- **Phone:** (262) 948-5600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aurora Medical Group, Inc. (NPI 1427271378, Milwaukee, WI); The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2026
- **Other identifiers:** Medicaid 100286522 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1760211015) · Data from the CMS NPPES public registry.