Individual provider Active NPI

Elizabeth A Borst, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New Berlin, WI
National Provider Identifier
1386922409
Registry record updated Sep 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10095-33 Issued in WI
Practice address
13900 W National Ave
New Berlin, WI 53151-9515
Phone
(262) 928-4036
NPI assigned
Jul 22, 2011
Last updated
Sep 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 175457-30 WI
Nurse Practitioner 363L00000X 10095 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10095-33 WI Primary

Addresses

Primary practice location

13900 W National Ave
New Berlin, WI 53151-9515

Mailing address

13900 W National Ave
New Berlin, WI 53151-9515
Phone (262) 928-4036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709001208 WI Practitioner - Nurse Practitioner 7911320908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
175457-30WIMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
10095WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Medical Group Inc. CurrentSince Nov 1, 2024 Accepting new patients
Ziegler Leffingwell Eyecare CurrentSince Jul 7, 2020 Accepting new patients
Prohealth Medical Group Inc CurrentSince Nov 1, 2024 Accepting new patients
Waukesha Health System, Inc. Past Accepting new patients

Locations

195 Discovery Dr
Brookfield, WI 53045
Phone (262) 513-7100

4600 W Schroeder Dr
Milwaukee, WI 53223
Phone (414) 355-9000

13900 W National Ave
New Berlin, WI 53151
Phone (262) 928-4500

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

2400 S 102nd St
West Allis, WI 53227
Phone (414) 541-2100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757203200000",
    "number": "1386922409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531519515",
            "telephone_number": "262-928-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531519515",
            "telephone_number": "262-928-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORST",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "WI",
            "license": "175457-30",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10095",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "10095-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

Verify at the official NPI Registry.