MRS. BRENDA BLUNT (APNP) – Nurse Practitioner, NPI 1174878839

MRS. BRENDA BLUNT (APNP) is a healthcare provider. based in Port washington, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP. They hold a License No. 4877-33 (WI). The NPI Number for MRS. BRENDA BLUNT (APNP) is 1174878839

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BRENDA BLUNT (APNP)
NPI
1174878839
Phone
(414) 766-1044
Address
420 W MICHIGAN ST
Enumeration Date
18 July 2012
Last Update Date
13 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4143523100
Graduation Year
2012 (14 years ago)
PAC ID
8921242454
Group Practice PAC ID
3375625833
Professional Enrollment ID
I20130923000591
Address ID
WI532092042MI3003XRDXX500

Contacts

Secure Messaging
bblunt45465@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

6,035 NURSE PRACTITIONER in WI

Provider Addresses for MRS. BRENDA BLUNT (APNP)

  • 420 W MICHIGAN ST

    PORT WASHINGTON, WI 530742101

    Phone: (414) 766-1044

    Type: Mailing

  • 5900 S LAKE DR

    CUDAHY, WI 531103171

    Phone: (414) 489-9000

    Type: Location

  • 2801 W Kinnickinnic River Pkwy Ste 1030

    Milwaukee, WI 532155217

    Phone: (414) 908-6500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (987 days ago).

Enrollment records

1

Earliest due date

2023-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130923000591INurse PractitionerWI2023-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6056$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4226$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2619$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th2313$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 53074)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375625833View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for MRS. BRENDA BLUNT (APNP)?
Save NPI 1174878839 if you need a stable reference for MRS. BRENDA BLUNT (APNP).
Is MRS. BRENDA BLUNT (APNP) currently active in the NPI registry?
CMS-published data lists MRS. BRENDA BLUNT (APNP) as an active registrant.
What field does MRS. BRENDA BLUNT (APNP) work in?
You can think of MRS. BRENDA BLUNT (APNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. BRENDA BLUNT (APNP) practice in Wisconsin?
You will see Port Washington, Wisconsin on file for MRS. BRENDA BLUNT (APNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

1136, Noridge Trail, Port Washington, Ozaukee County, Wisconsin, 53074, United States
NPI: 1134162779
PO BOX 735044
NPI: 1891727715

MRS. REBECCA MASSART (NP)

Nurse Practitioner
PO BOX 735044
NPI: 1497815237

MRS. OCTAVIA N MANUEL-WRIGHT (PMHNP-BC)

Psychiatric/Mental Health Nurse Practitioner
7929 N 76th St
NPI: 1598950396

HOLLY MARIE KEMPERS (APNP)

Nurse Practitioner
720 S VANBUREN SUITE 201
NPI: 1477856581

HEIDI S WHEELER (NP)

Nurse Practitioner
12500 W BLUEMOUND RD
NPI: 1417247313
6029 W 10th St
NPI: 1891074407

SAMANTHA GREGORY DAGENHARDT (RN, MS, MSN, PMHCNS-)

Psychiatric/Mental Health Nurse Practitioner
121 W MAIN ST
NPI: 1659642841

MS. ALICIA ST PETER (APNP)

Nurse Practitioner
3301 W FOREST HOME AVE
NPI: 1861893133