Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Nicole Blaha, PA-C

Individual provider Physician Assistant · NPI 1366054116

Stephanie Nicole Blaha, PA-C is a Physician Assistant in Cudahy, Wisconsin. Qualified in 2020, 6 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
6
Licensed in
IL, WI
In the registry since
2020
Specialties on file
2
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

5900 S Lake Dr
Cudahy, WI 53110-3171
Phone: (414) 489-9000
Fax: (414) 489-4153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2300 N Edward St, Decatur, IL 62526-4163 — (217) 876-8121

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5115-23 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 085.007939 (IL)

Record details

NPI number1366054116
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 21, 2020
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cudahy