Mrs Kelly Marie Blonien, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mequon, Wisconsin. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Orthopaedic Hospital Of Wisconsin, Llc and 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 | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 8 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. |
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Medical Education and Training:
- Mrs Kelly Marie Blonien graduated from nursing school in 2018
NPI Data:
- NPI Number: 1891270096
- Provider Enumeration Date: 10/03/2018
- Last Update Date: 05/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123364387
- Enrollment ID: I20190108003545
Medical Identifiers
Medical identifiers for Mrs Kelly Marie Blonien such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891270096 | NPI | - | NPPES |
| 100084174 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 8740 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Orthopaedic Hospital Of Wisconsin, Llc | 4981741709 | 39 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kelly Marie Blonien allows following entities to bill medicare on her behalf.
| Entity Name | The Medical College Of Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259 |
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| Entity Name | Anesthesia Partners Services Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861810947
PECOS PAC ID: 4082832514
Enrollment ID: O20140826000757 |
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| Entity Name | Orthopaedic Hospital Of Wisconsin, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669584983
PECOS PAC ID: 4981741709
Enrollment ID: O20160106001182 |
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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 |
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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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