1. Home
  2. Directory
  3. Wisconsin
  4. West Bend
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

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

Active since November 05, 2015PECOS EnrolledAccepts 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: October 18, 2026.

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

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 enrolled in Medicare PECOS, 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
Open in Google Maps ↗

Other Identifiers 1

Medicaid1902279474WI

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

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
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Brendan Blackwelder reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metro Milwaukee Anesthesia Associates Sc
19 mi
Nurse Anesthetist, Certified Registered
17495 W CAPITOL DR
Brookfield, WI 53045
  • Reassigned Medicare billing, Wisconsin enrollment
  • 27 clinicians in this Medicare group
NPI 1609130228 (847) 691-9080
The Medical College Of Wisconsin, Inc.
23 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101
Racine Anesthesia Services, LLC
47 mi
Anesthesiology
3801 SPRING ST
Mount Pleasant, WI 53405
  • Reassigned Medicare billing, Wisconsin enrollment
  • 162 clinicians in this Medicare group
NPI 1467782748 (262) 687-4011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 677-6805
MR. MATTHEW R MUELLER CRNA
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
CHRISTOPHER JON LEICHLITER M.D.
Anesthesiology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-2400
KAITLYN SOLVESON APRN-NP
Nurse Practitioner
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-5533
JENNIFER ESSER REPPAS PA-C
Physician Assistant (Surgical)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
Durable Medical Equipment & Medical Supplies
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-3451
JANET GOLDMAN MD
Obstetrics & Gynecology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300

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 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.

Where is Brendan Blackwelder located?

Brendan Blackwelder practices at 3200 Pleasant Valley Rd, West Bend, WI 53095. The listed phone number is (262) 836-7300.

What is Brendan Blackwelder's specialty?

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

Is Brendan Blackwelder enrolled in Medicare?

Yes. Brendan Blackwelder 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 Brendan Blackwelder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brendan Blackwelder reassigns Medicare benefits to 3 organizations: Metro Milwaukee Anesthesia Associates Sc (Brookfield, WI), The Medical College Of Wisconsin, Inc. (Milwaukee, WI) and Racine Anesthesia Services, LLC (Mount Pleasant, 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 Brendan Blackwelder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brendan Blackwelder affiliated with any hospitals?

According to CMS data, Brendan Blackwelder is affiliated with Ascension All Saints Hospital and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Brendan Blackwelder was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.