Carl A. Holborn, NURSE PRACTITIONER
NPI 1912597063ActiveIndividual· Nurse Practitioner, Acute Care· Waukesha, WI
Nurse Practitioner, Acute Care (NURSE PRACTITIONER) with Prohealth Medical Group Inc, practicing in Waukesha, Wisconsin. Medicare paid $7,396 for services to 50 patients in 2024. Lists Oconomowoc Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1912597063 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | No |
| NPI issued | Jan 22, 2021 |
| Last updated in NPPES | Jan 22, 2021 |
| Certified by provider | Jan 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 10588 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 50 |
|---|---|
| Services billed | 70 across 5 procedure codes |
| Paid by Medicare | $7,396 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Prohealth Medical Group IncMukwonago, WI · 479 clinicians
Hospital affiliations
- Oconomowoc Memorial HospitalOconomowoc, WI
- Waukesha Memorial HospitalWaukesha, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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