BRENDAN BLACKWELDER
NPI 1902279474
Nurse Anesthetist, Certified Registered in West Bend, WI

Q: What is Brendan Blackwelder's NPI number?

The NPI number for Brendan Blackwelder is 1902279474. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Q: What is Brendan Blackwelder's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since November 05, 2015Accepts Medicare Assignment

3200 PLEASANT VALLEY RD, WEST BEND, WI 53095(262) 836-7300(262) 836-7301 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2025, Jan 20, 2021 (2 updates tracked since 2021).

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About Brendan Blackwelder NPPES

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

BRENDAN BLACKWELDER (NPI 1902279474) is an individual nurse anesthetist, certified registered in West Bend, Wisconsin, licensed in Wisconsin (6803) and active in the NPI registry since November 2015. He is affiliated with Ascension All Saints Hospital and is a graduate of Other (2016).

NPPES Registry Identity

NPI1902279474

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBRENDAN BLACKWELDER

Location Address3200 PLEASANT VALLEY RDWest Bend, WI 53095-9274

Mailing Address3200 Pleasant Valley RdWest Bend, WI 53095-9274 · (262) 836-7300 · Fax (262) 836-7301

Phone(262) 836-7300

Fax(262) 836-7301

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 5, 2015

Last NPPES UpdateApril 10, 20252 updates tracked since enumeration

NPPES CertifiedApril 10, 2025

✔ NPI 1902279474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in WI · 6803

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

3200 PLEASANT VALLEY RD, West Bend, WI 53095

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Other Identifiers 1

Medicaid1902279474WI

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

Brendan Blackwelder 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 ID4981907011

PECOS Enrollment IDI20160125001137

Hospital Affiliations CMS Care Compare 2

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520096

Location3801 Spring StRacine, WI 53405 · Racine County

Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53095 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

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.

ABDEL HAI ISMAIL ALQWASMI M.D

Internal Medicine (Hematology & Oncology)

3200 PLEASANT VALLEY RD, DIVISION OF NEOPLASTIC DISEASES
WEST BEND, WI 53095

Washington County (262) 836-7200

MARY OGNENOFF OTR

Occupational Therapist