IndividualActive
Benjamin Skubal
NPI 1104135508 · Certified Registered Nurse Anesthetist · West Bend, WI
Provider details
- NPI number
- 1104135508
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 085261 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone: (262) 836-7300
Fax: (262) 836-7301
Street-level locationGet directions
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Additional practice locations (2)
- 9200 W Wisconsin AveMilwaukee, WI 53226-3522Phone: (414) 805-2764Fax: (414) 777-4870
- 3212 Pleasant Valley RdWest Bend, WI 53095-9274Phone: (262) 836-7300Fax: (262) 836-7301
Registry dates
- Enumerated
- 2010-10-02
- Last updated
- 2024-04-25
- Certified
- 2024-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.