MR. CARL A HOLBORN NURSE PRACTITIONER
NPI 1912597063
Nurse Practitioner - Acute Care in Waukesha, WI

Active since January 22, 2021PECOS EnrolledAccepts Medicare Assignment
725 AMERICAN AVE, WAUKESHA, WI 53188(262) 928-1000 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Carl A Holborn Nurse Practitioner NPPES

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

MR. CARL A HOLBORN NURSE PRACTITIONER (NPI 1912597063) is an individual acute care provider in Waukesha, Wisconsin, licensed in Wisconsin (10588) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912597063
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. CARL A HOLBORNCredential: NURSE PRACTITIONER
Location Address725 AMERICAN AVEWaukesha, WI 53188-5031
Mailing Address3428 S 113th St Apt 5West Allis, WI 53227-3935 · (262) 914-0874
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 22, 2021
NPPES CertifiedJanuary 22, 2021
NPI 1912597063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in WI · 10588
725 AMERICAN AVE, Waukesha, WI 53188

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Carl A Holborn Nurse Practitioner 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 ID7416362439
PECOS Enrollment IDI20210224001205
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.

Areas of Expertise CMS Part B claims 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services36 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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 20

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

Social Worker (Clinical)
725 AMERICAN AVE
WAUKESHA, WI 53188
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Obstetrics & Gynecology)
725 AMERICAN AVE, PROHEALTH CARE WOMEN'S CENTER
WAUKESHA, WI 53188
Physician Assistant
725 AMERICAN AVE
WAUKESHA, WI 53188
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Acute Care)
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188

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 Carl Holborn's NPI number?

The NPI number for Carl Holborn is 1912597063. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Carl Holborn located?

Carl Holborn practices at 725 American Ave, Waukesha, WI 53188. The listed phone number is (262) 928-1000.

What is Carl Holborn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Carl Holborn enrolled in Medicare?

Yes. Carl Holborn 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.

What insurance does Carl Holborn accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Carl Holborn 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 Carl Holborn affiliated with any hospitals?

According to CMS data, Carl Holborn is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carl Holborn was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.