Brendan Blackwelder
NPI 1902279474 · Certified Registered Nurse Anesthetist · West Bend, WI
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brendan Blackwelder is a Certified Registered Nurse Anesthetist provider in West Bend, WI (NPI 1902279474).
Provider details
- NPI number
- 1902279474
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 6803 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2015-11-05
- Last updated
- 2025-04-10
- Certified
- 2025-04-10
Frequently asked questions
- What is Brendan Blackwelder's NPI number?
- Brendan Blackwelder's National Provider Identifier (NPI) is 1902279474, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brendan Blackwelder's specialty?
- Brendan Blackwelder is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Brendan Blackwelder located?
- Brendan Blackwelder's practice location on file with NPPES is 3200 Pleasant Valley Rd, West Bend, WI 53095-9274.
- What is Brendan Blackwelder's phone number?
- The practice phone number listed in the NPPES registry for Brendan Blackwelder is (262) 836-7300.
- Does Brendan Blackwelder accept Medicare?
- Brendan Blackwelder is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brendan Blackwelder's NPI active?
- Yes — Brendan Blackwelder's NPI (1902279474) is active in the NPPES registry as of the last update on 2025-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.