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

Kyle Raymond Blindauer, PA-C

Individual provider Physician Assistant · NPI 1700343753

Kyle Raymond Blindauer, PA-C is a Physician Assistant in Pewaukee, Wisconsin. Qualified in 2024, 2 years ago. Practices with Orthopaedic Associates of Wisconsin SC, a 106-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone: (262) 303-5055
Fax: (262) 303-5057
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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 8140-23 (WI)

Record details

NPI number1700343753
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 26, 2019
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024
Mailing addressN15w28300 Golf Rd, Pewaukee, WI 53072-4800

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Orthopaedic Associates Of Wisconsin Sc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pewaukee