Mrs Kelly Marie Blonien, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mequon, Wisconsin. Her current practice location is
11845 N. Sandhill Circle, Mequon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 805-8700.
Mrs Kelly Marie Blonien is licensed to practice in Wisconsin (license number 8740) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891270096.
Provider's Profile
Full Name | Mrs Kelly Marie Blonien |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 11845 N. Sandhill Circle, Mequon, Wisconsin |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Kelly Marie Blonien attended and graduated from in
NPI Data:
- NPI Number: 1891270096
- Provider Enumeration Date: 10/03/2018
- Last Update Date: 05/08/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Kelly Marie Blonien such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891270096 | NPI | - | NPPES |
100084174 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 8740 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Marie Blonien is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kelly Marie Blonien, CRNA 11845 N. Sandhill Circle, Mequon, WI 53092 Ph: (414) 805-8700 | Mrs Kelly Marie Blonien, CRNA 11845 N. Sandhill Circle, Mequon, WI 53092 Ph: (414) 805-8700 |
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