Individual provider Active NPI

Kristin K Borgen, M.S., CCC-A

  • Audiologist
  • Appleton, WI
National Provider Identifier
1508858721
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
289156 Issued in WI
Practice address
1520 N Meade St
Appleton, WI 54911-3762
Phone
(920) 734-7181
Fax
(920) 734-0621
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 289156 WI Primary

Addresses

Primary practice location

1520 N Meade St
Appleton, WI 54911-3762

Mailing address

N1457 Westgreen Dr
Greenville, WI 54942-9661
Phone (920) 757-5972

Other identifiers 1

IdentifierTypeStateIssuer
41132000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080918000235 WI Practitioner - Qualified Audiologist 5193892099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Specialists of Wisconsin SCGroup PAC ID 9830086925, 28 clinicians

Practice addresses (Care Compare)

515 S Washburn St
Suite 200
Oshkosh, WI 54904-7975
Phone (920) 969-1768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
289156WIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Specialists of Wisconsin SC CurrentSince Oct 17, 2022 Accepting new patients

Locations

1520 N Meade St
Appleton, WI 54911
Phone (920) 560-6748

444 N Westhill Blvd
Appleton, WI 54914
Phone (920) 750-7000

119 E Bell St
Neenah, WI 54956

515 S Washburn St
Ste 200
Oshkosh, WI 54904

855 N Westhaven Dr
#200
Oshkosh, WI 54904

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508858721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1457 WESTGREEN DR",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549429661",
            "telephone_number": "920-757-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N MEADE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113762",
            "telephone_number": "920-734-7181",
            "fax_number": "920-734-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGEN",
        "first_name": "KRISTIN",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "289156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41132000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.