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MR. NATHAN BOREN
NPI 1467871855
Surgery in Mount Pleasant, WI

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3811 SPRING ST # 201, MOUNT PLEASANT, WI 53405(773) 975-1600 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Nathan Boren NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NATHAN BOREN (NPI 1467871855) is an individual surgery provider in Mount Pleasant, Wisconsin, licensed in Illinois (125066041) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Creighton University School Of Medicine (2014).

NPPES Registry Identity

NPI1467871855
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. NATHAN BOREN
Location Address3811 SPRING ST # 201Mount Pleasant, WI 53405-1667
Mailing Address3811 Spring St # 201Mount Pleasant, WI 53405-1667
Phone(773) 975-1600
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2014
Enumeration DateApril 14, 2014
Last NPPES UpdateJuly 24, 2019
✔ NPI 1467871855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 125066041
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3811 SPRING ST # 201, Mount Pleasant, WI 53405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Nathan Boren is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628367034
PECOS Enrollment IDI20190806004096
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nathan Boren reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vanish, LLC
13 mi
Phlebology
7003 S HOWELL AVE STE 1600
Oak Creek, WI 53154
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1619492709 (262) 476-4900
Ascension Medical Group-Southeast Wisconsin Inc
23 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services16 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY NICOLE CLARK M.D.
Surgery
3811 SPRING ST # 201
MOUNT PLEASANT, WI 53405
Racine County (262) 687-5850
RHODORA KHAN APNP
Nurse Practitioner (Family)
3811 SPRING ST # 201
MOUNT PLEASANT, WI 53405
Racine County (262) 687-5850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Boren's NPI number?

The NPI number for Nathan Boren is 1467871855. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Nathan Boren located?

Nathan Boren practices at 3811 Spring St # 201, Mount Pleasant, WI 53405. The listed phone number is (773) 975-1600.

What is Nathan Boren's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nathan Boren enrolled in Medicare?

Yes. Nathan Boren is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nathan Boren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Boren reassigns Medicare benefits to 2 organizations: Vanish, LLC (Oak Creek, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Boren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Boren accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Nathan Boren as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nathan Boren affiliated with any hospitals?

According to CMS data, Nathan Boren is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Boren was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.