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

Justin Blazel, NP

Individual provider Nurse Practitioner · NPI 1124481148

Justin Blazel, NP is a Nurse Practitioner in Madison, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2012, 14 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
14
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2016
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 262-5420
Fax: (608) 262-5624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 56065 (WI)

Record details

NPI number1124481148
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 29, 2016
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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