ABBY LEE BORNHOLDT APRN
NPI 1801740824
Nurse Practitioner - Gerontology in Wichita, KS

Q: What is Abby Bornholdt's NPI number?

The NPI number for Abby Bornholdt is 1801740824. It was assigned to this individual provider in the NPPES registry on February 25, 2026.

Q: What is Abby Bornholdt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Abby Bornholdt was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since February 25, 2026PECOS Enrolled

245 N WACO ST STE 220, WICHITA, KS 67202(316) 722-2138(833) 464-2530 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Abby Lee Bornholdt Aprn NPPES

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

ABBY LEE BORNHOLDT APRN (NPI 1801740824) is an individual gerontology provider in Wichita, Kansas, licensed in Kansas (85234) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1801740824

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameABBY LEE BORNHOLDTCredential: APRN

Location Address245 N WACO ST STE 220Wichita, KS 67202-1102

Mailing Address245 N Waco St Ste 220Wichita, KS 67202-1102 · (316) 722-2138 · Fax (833) 464-2530

Phone(316) 722-2138

Fax(833) 464-2530

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 25, 2026

Last NPPES UpdateMarch 3, 2026

NPPES CertifiedMarch 3, 2026

✔ NPI 1801740824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in KS · 85234

245 N WACO ST STE 220, Wichita, KS 67202

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abby Lee Bornholdt Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496221053

PECOS Enrollment IDI20260421000343

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 Reassignment

Medicare enrollment records show Abby Bornholdt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

House Call Medical Services

Same address

Primary Care

245 N WACO ST STE 220
Wichita, KS 67202

Reassigned Medicare billing, Kansas enrollment
15 clinicians in this Medicare group

NPI 1417276791 (316) 393-5256

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67202 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

LORENA PEREZ FNP-C

Nurse Practitioner (Family)