JACQUELINE BLANK MD
NPI 1760800312
Surgery - Trauma Surgery in Milwaukee, WI
About Jacqueline Blank Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE BLANK MD (NPI 1760800312) is an individual trauma surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (64645) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 3
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
Jacqueline Blank Md 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 Reassignments
3Medicare enrollment records show Jacqueline Blank reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 clinicians in this Medicare group
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 clinicians in this Medicare group
Berwyn, PA 19312
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Froedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 Jacqueline Blank's NPI number?
The NPI number for Jacqueline Blank is 1760800312. It was assigned to this individual provider in the NPPES registry on April 1, 2014.
Where is Jacqueline Blank located?
Jacqueline Blank practices at 9200 W Wisconsin Ave Trauma Surgery, Milwaukee, WI 53226. The listed phone number is (414) 955-1700.
What is Jacqueline Blank's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.
Is Jacqueline Blank enrolled in Medicare?
Yes. Jacqueline Blank 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 organizations bill Medicare for Jacqueline Blank's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Blank reassigns Medicare benefits to 3 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI) and University Of Penn-Medical Group (Berwyn, PA). 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 Jacqueline Blank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Blank accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Network Health list Jacqueline Blank 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.
Is Jacqueline Blank affiliated with any hospitals?
According to CMS data, Jacqueline Blank is affiliated with Froedtert Memorial Lutheran Hospital.
When was this NPI record last updated?
The NPPES record for Jacqueline Blank was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Jacqueline Blank, MD · NPI 1760800312
Trauma Surgery physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since April 1, 2014.
## Identity
- **NPI:** 1760800312 (Entity type: Individual)
- **Enumerated:** April 1, 2014
- **Primary specialty:** Surgery - Trauma Surgery · taxonomy 2086S0127X
- **State license:** 64645 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 9200 W WISCONSIN AVE, TRAUMA SURGERY, Milwaukee, WI 53226-3522
- **Phone:** (414) 955-1700 · **Fax:** (414) 955-0072
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI); Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (NPI 1568787448, Menomonee Falls, WI); University Of Penn-Medical Group (NPI 1396133559, Berwyn, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** August 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1760800312) · Data from the CMS NPPES public registry.