MRS. KELLY MARIE BLONIEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1891270096

MRS. KELLY MARIE BLONIEN (CRNA) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 8740 (WI). The NPI Number for MRS. KELLY MARIE BLONIEN (CRNA) is 1891270096

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY MARIE BLONIEN (CRNA)
NPI
1891270096
Phone
(724) 877-4454
Address
777 N VAN BUREN ST APT 3209
Enumeration Date
3 October 2018
Last Update Date
8 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4149616800
Graduation Year
2018 (8 years ago)
PAC ID
8123364387
Group Practice PAC ID
4981741709
Professional Enrollment ID
I20190108003545
Address ID
WI532121081GL475XXPKWY500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,141 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

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Provider Addresses for MRS. KELLY MARIE BLONIEN (CRNA)

  • 777 N VAN BUREN ST APT 3209

    MILWAUKEE, WI 532023865

    Phone: (724) 877-4454

    Type: Mailing

  • Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    MILWAUKEE, WI 532263522

    Phone: (414) 805-3666

    Type: Location

  • 11845 N. SANDHILL CIRCLE

    MEQUON, WI 53092

    Phone: (414) 805-8700

    Fax: (414) 259-1522

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2019-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
I20190108003545ICertified Registered Nurse Anesthetist (Crna)WITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 53202)

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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: 4981741709View full group profile
NameSpecialtyState
Family PracticeWI
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YWI
Certified Registered Nurse Anesthetist (Crna)WI
A N E S T H E S I O L O G YWI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)WI
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. KELLY MARIE BLONIEN (CRNA)?
NPI 1891270096 is assigned to MRS. KELLY MARIE BLONIEN (CRNA) under the national enumeration system.
Does this profile mean MRS. KELLY MARIE BLONIEN (CRNA) is currently active?
Yes — MRS. KELLY MARIE BLONIEN (CRNA) appears active in the national provider directory.
What kind of provider is MRS. KELLY MARIE BLONIEN (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for MRS. KELLY MARIE BLONIEN (CRNA). Clinical services aligned with this taxonomy classification.
What location shows for MRS. KELLY MARIE BLONIEN (CRNA)?
We surface Milwaukee, Wisconsin for MRS. KELLY MARIE BLONIEN (CRNA) based on available NPPES addresses.
Is MRS. KELLY MARIE BLONIEN (CRNA) a real provider?
This page reflects official NPPES data for NPI 1891270096. Always confirm identity and privileges with the practice and licensing boards.

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