DR. NATHAN A BLANKENHEIM MD
NPI 1871989657
Emergency Medicine in Barron, WI

Q: What is Nathan Blankenheim's NPI number?

The NPI number for Nathan Blankenheim is 1871989657. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Q: What is Nathan Blankenheim's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1222 E WOODLAND AVE, BARRON, WI 54812(715) 838-5222 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2024, Aug 14, 2024, Apr 1, 2024 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Nathan A Blankenheim Md NPPES

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

DR. NATHAN A BLANKENHEIM MD (NPI 1871989657) is an individual emergency medicine provider in Barron, Wisconsin, licensed in Wisconsin (66977) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871989657

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. NATHAN A BLANKENHEIMCredential: MD

Location Address1222 E WOODLAND AVEBarron, WI 54812-1765

Mailing Address200 1st St SwRochester, MN 55905-0001 · (715) 838-5222

Phone(715) 838-5222

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 8, 2015

Last NPPES UpdateSeptember 6, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2024

✔ NPI 1871989657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WI · 66977

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1222 E WOODLAND AVE, Barron, WI 54812

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1UW Hospital and Clinics, 600 Highland AveMadison, WI 53792-0001 · Phone (608) 890-8682

Location 22116 Craig RdEau Claire, WI 54701-6118 · Phone (715) 858-8184

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Dr. Nathan A Blankenheim 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.

PECOS PAC ID9931405537

PECOS Enrollment IDI20180817001233

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.

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

89 services87 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

61 services59 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

35 services33 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520070

Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County

Emergency services Birthing friendly

Mayo Clinic Health System-Northland

Critical Access Hospitals · Barron, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521315

Location1222 E Woodland AveBarron, WI 54812 · Barron County

Emergency services

Mayo Clinic Health System-Red Cedar Inc

Critical Access Hospitals · Menomonie, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521340

Location2321 Stout RdMenomonie, WI 54751 · Dunn County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54812 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

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare 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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.25

Promoting Interoperability

100

Improvement Activities

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.

JANELLE KALEI HERRICK PT

Physical Therapist