Individual provider Active NPI

Cynthia L Blader, PA-C

  • Physician Assistant
  • New Richmond, WI
National Provider Identifier
1790767937
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
843 Issued in WI
Practice address
535 Hospital Rd
New Richmond, WI 54017-1449
Phone
(715) 243-3400
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westfields Hospital Inc 108 clinicians

Practice addresses (Care Compare)

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600

Hospital & facility affiliations

  • Lakeview Homecare Home health agency, Oak Park Heights, MN, CCN 248008
  • Westfields Hospital and Clinic Hospital, New Richmond, WI, CCN 521345
  • Lakeview Memorial Hospital Hospital, Stillwater, MN, CCN 240066
  • Amery Hospital & Clinic Hospital, Amery, WI, CCN 521308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101206000960 WI Practitioner - Physician Assistant 5991991804 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
843WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Westfields Hospital, Inc. CurrentSince Oct 1, 2013 Accepting new patients

Locations

551 Hospital Rd
New Richmond, WI 54017
Phone (715) 243-3400

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

Interoperability endpoints

  • Direct secure messaging: cblader50824@direct.healthpartners.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 843 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

535 Hospital Rd
New Richmond, WI 54017-1449

Mailing address

8170 33Rd Ave S
Bloomington, MN 55425-4516

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
42954220MedicaidWI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2021.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1790767937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 HOSPITAL RD",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171449",
            "telephone_number": "715-243-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLADER",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42954220",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Richmond, WI

Sources for this page

Verify at the official NPI Registry.