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

Brendan Blackwelder

Individual provider Certified Registered Nurse Anesthetist · NPI 1902279474

Brendan Blackwelder is a Certified Registered Nurse Anesthetist (CRNA) in West Bend, Wisconsin. Qualified in 2016, 10 years ago. Practices with Racine Anesthesia Services LLC, a 81-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2015

Practice location Address checks out

3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone: (262) 836-7300
Fax: (262) 836-7301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 6803 (WI)

Record details

NPI number1902279474
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 5, 2015
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025
Mailing address3200 Pleasant Valley Rd, West Bend, WI 53095-9274

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Racine Anesthesia Services Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in West Bend