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

Mr. Benjamin T Skubal

Individual provider Certified Registered Nurse Anesthetist · NPI 1104135508

Mr. Benjamin T Skubal is a Certified Registered Nurse Anesthetist (CRNA) in West Bend, Wisconsin. Qualified in 2010, 16 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
16
Licensed in
WI
In the registry since
2010
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Practice location Address checks out

3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone: (262) 836-7300
Fax: (262) 836-7301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 — (414) 805-2764
  • 3212 Pleasant Valley Rd, West Bend, WI 53095-9274 — (262) 836-7300

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 085261 (WI)

Record details

NPI number1104135508
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 2, 2010
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address9200 W Wisconsin Ave, Milwaukee, WI 53226-3522

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Bend