MARY MAUREEN BOREN M.D.
NPI 1881008738
Pediatrics in Oak Creek, WI

Q: What is Mary Boren's NPI number?

The NPI number for Mary Boren is 1881008738. It was assigned to this individual provider in the NPPES registry on June 19, 2014. The provider is also known as Mary M Longo MD.

Q: What is Mary Boren's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Boren was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 19, 2014PECOS Enrolled

8375 S HOWELL AVE, OAK CREEK, WI 53154(414) 764-5726(414) 764-6954 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2023, Dec 8, 2021, May 17, 2018 (3 updates tracked since 2018).

On this page

About Mary Maureen Boren M.d. NPPES

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

MARY MAUREEN BOREN M.D. (NPI 1881008738) is an individual pediatrics provider in Oak Creek, Wisconsin, licensed in Wisconsin (71610-20) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881008738

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARY MAUREEN BORENCredential: M.D.

Location Address8375 S HOWELL AVEOak Creek, WI 53154-8344

Mailing Address8375 S Howell AveOak Creek, WI 53154-8344 · (414) 764-5726 · Fax (414) 764-6954

Phone(414) 764-5726

Fax(414) 764-6954

Sole ProprietorYes

Enumeration DateJune 19, 2014

Last NPPES UpdateJune 16, 20233 updates tracked since enumeration

NPPES CertifiedJune 16, 2023

✔ NPI 1881008738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 71610-20

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

8375 S HOWELL AVE, Oak Creek, WI 53154

Open in Google Maps ↗

Other Names 1

Former Name (1)Mary M Longo Md

Other Identifiers 1

Medicaid1881008738WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Maureen Boren M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mary Boren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Columbia St. Mary's Hospital Milwaukee, Inc

12 mi

Multi-Specialty

2350 N LAKE DR
Milwaukee, WI 53211

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
856 clinicians in this Medicare group

NPI 1023064482 (414) 585-1000

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 53154 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

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 17

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

MALLORY HANNAH SALENTINE M.D.

Pediatrics

8375 S HOWELL AVE
OAK CREEK, WI 53154

Milwaukee County (414) 764-5726

STEVEN R CHYBOWSKI DDS

Dentist (Pediatric Dentistry)

8375 S HOWELL AVE, #201
OAK CREEK, WI 53154

Milwaukee County (414) 768-1020

ANGELA M BIER MD

Pediatrics

8375 S HOWELL AVE
OAK CREEK, WI 53154

Milwaukee County (414) 764-5726

PROGRESSIVE PEDIATRIC DENTIST SC

Dentist (Pediatric Dentistry)

8375 S HOWELL AVE, #201
OAK CREEK, WI 53154

Milwaukee County (414) 768-1020

MARGARET LABBAN LCSW

Social Worker

8375 S HOWELL AVE
OAK CREEK, WI 53154

Milwaukee County (414) 764-5726

MR. DAVID S. OGREN M.D.

Pediatrics

8375 S HOWELL AVE
OAK CREEK, WI 53154

Milwaukee County (414) 764-5726

TANRITAI WYLLIE M.D.

Pediatrics

8375 S HOWELL AVE
OAK CREEK, WI 53154

Milwaukee County (414) 764-5726

CHILDREN'S MEDICAL GROUP

Pediatrics

8375 S HOWELL AVE
OAK CREEK, WI 53154

Milwaukee County (414) 764-5726

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 Mary Boren's NPI number?

The NPI number for Mary Boren is 1881008738. It was assigned to this individual provider in the NPPES registry on June 19, 2014. The provider is also known as Mary M Longo MD.

Where is Mary Boren located?

Mary Boren practices at 8375 S Howell Ave, Oak Creek, WI 53154. The listed phone number is (414) 764-5726.

What is Mary Boren's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Boren enrolled in Medicare?

Yes. Mary Boren is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Boren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Boren reassigns Medicare benefits to Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI). The 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 Mary Boren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Boren accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Mary 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.

When was this NPI record last updated?

The NPPES record for Mary Boren was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.