HOLLY L HABERMAN MD
NPI 1922457803
Family Medicine in Waupaca, WI
About Holly L Haberman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY L HABERMAN MD (NPI 1922457803) is an individual family medicine provider in Waupaca, Wisconsin, licensed in Wisconsin (74008) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and maintains a secondary practice location in Greeley.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted 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
Holly L Haberman Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Holly Haberman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New London, WI 54961
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
Fond Du Lac, WI 54935
- Reassigned Medicare billing, Wisconsin enrollment
- 606 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St. Agnes Hospital Hospice
Acute Care Hospitals · Fond Du Lac, WIWaupun Memorial Hospital
Critical Access Hospitals · Waupun, WIThedacare Medical Center-Waupaca
Critical Access Hospitals · Waupaca, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54981 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Holly Haberman's NPI number?
The NPI number for Holly Haberman is 1922457803. It was assigned to this individual provider in the NPPES registry on June 10, 2016.
Where is Holly Haberman located?
Holly Haberman practices at 710 Riverside Dr, Waupaca, WI 54981. The listed phone number is (715) 256-3000.
What is Holly Haberman's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Holly Haberman enrolled in Medicare?
Yes. Holly Haberman 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 Holly Haberman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Haberman reassigns Medicare benefits to 2 organizations: Thedacare, Incorporated (New London, WI) and Agnesian Healthcare Inc (Fond Du Lac, 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 Holly Haberman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Haberman accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and Quartz list Holly Haberman 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 Holly Haberman affiliated with any hospitals?
According to CMS data, Holly Haberman is affiliated with St. Agnes Hospital Hospice, Waupun Memorial Hospital and Thedacare Medical Center-Waupaca.
When was this NPI record last updated?
The NPPES record for Holly Haberman was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Holly L Haberman, MD · NPI 1922457803
Family Medicine physician in Waupaca, Wisconsin. Individual provider, active in the CMS NPPES registry since June 10, 2016.
## Identity
- **NPI:** 1922457803 (Entity type: Individual)
- **Enumerated:** June 10, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 74008 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 710 RIVERSIDE DR, Waupaca, WI 54981-1941
- **Phone:** (715) 256-3000 · **Fax:** (715) 256-3039
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Thedacare, Incorporated (NPI 1376656959, New London, WI); Agnesian Healthcare Inc (NPI 1730162991, Fond Du Lac, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 2016
## Record status
- **NPPES last updated:** February 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922457803) · Data from the CMS NPPES public registry.