Active NPI
Brian H Bielicki
- Certified Registered Nurse Anesthetist
- Mauston, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 8989-33
- Practice address
- 1050 Division St
Mauston, WI 53948-1931 - Phone
- (088) 476-1616
- NPI assigned
- Nov 26, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 68193 | NE | |
| Certified Registered Nurse Anesthetist | 367500000X | 901711 | NE | |
| Certified Registered Nurse Anesthetist | 367500000X | 8989-33 | WI | Primary |
Addresses
Primary practice location
1050 Division St
Mauston, WI 53948-1931
Mailing address
1050 Division St
Mauston, WI 53948-1931
Phone (088) 476-1616
Other practice location 1
601 W Leota St
North Platte, NE 69101-6525
Phone (308) 696-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170411002228 | OH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4981769262 | Reassigns benefits to 3 organizations |
| I20190319001305 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4981769262 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mile Bluff Medical Center IncCumberland Memorial Hospital Inc
Practice addresses (Care Compare)
1040 Division St
Mauston, WI 53948-1931
Phone (608) 847-1852
1050 Division St
Mauston, WI 53948-1931
1705 16TH Ave
Cumberland, WI 54829-8601
Phone (715) 822-7222
28 Commerce St
Wisconsin Dells, WI 53965-8293
Phone (608) 254-8888
Hospital & facility affiliations
- Mile Bluff Medical Center
- Cumberland Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68193 | NE | MD | Registered Nurse |
| 901711 | NE | MD | Certified Registered Nurse Anesthetist |
| 8989-33 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Ohio LLC | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Sandusky Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Midwest Anesthesia Care, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
400 10th St E
Waconia, MN 55387
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
15028 State Route 224 E
Findlay, OH 45840
Phone (419) 427-3040
2615 E High St
Springfield, OH 45505
Phone (888) 861-3994
1040 Division St
Mauston, WI 53948
Phone (608) 847-5000
1050 Division St
Mauston, WI 53948
Phone (608) 847-6161
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
2200 Cedar Crest Dr
Ste B
Rice Lake, WI 54868
Phone (586) 864-6006
28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888
Organizations & group practices 22
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Mauston, WI
- NPI 1922145077
Nurse Anesthetist, Certified Registered, WI
-
- Certified Registered Nurse Anesthetist
- Rice Lake, WI
- NPI 1740988542
Nurse Anesthetist, Certified Registered, WI
-
- Certified Registered Nurse Anesthetist
- Circleville, OH
- NPI 1770907859
Nurse Anesthetist, Certified Registered, OH
-
- Rural Health Clinic/Center
- Wisconsin Dells, WI
- NPI 1487734380
-
- Certified Registered Nurse Anesthetist
- Willard, OH
- NPI 1811906340
OH
-
- General Acute Care Hospital
- Mauston, WI
- NPI 1568487411
Nurse Anesthetist, Certified Registered
-
- Medicare Defined Swing Bed Hospital Unit
- Cumberland, WI
- NPI 1730233651
-
- Critical Access Hospital
- Cumberland, WI
- NPI 1831243757
-
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1952737264
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1154576569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 DIVISION ST",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539481931",
"telephone_number": "088-476-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 DIVISION ST",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539481931",
"telephone_number": "088-476-1616"
}
],
"practiceLocations": [
{
"address_1": "601 W Leota St",
"address_purpose": "LOCATION",
"city": "North Platte",
"state": "NE",
"postal_code": "691016525",
"country_code": "US",
"telephone_number": "308-696-8000",
"fax_number": "308-696-8349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIELICKI",
"first_name": "BRIAN",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-26",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "68193",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "901711",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "8989-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mauston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.