Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake C Schanen, PA-C

Individual provider Physician Assistant · NPI 1033980107

Blake C Schanen, PA-C is a Physician Assistant in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2575 E Evergreen Dr
Appleton, WI 54913-8910
Phone: (920) 969-5353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8381-23 (WI)

Record details

NPI number1033980107
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 9, 2024
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

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