Individual provider Active NPI

Andrea C Holyszko, CRNA

  • Certified Registered Nurse Anesthetist
  • Franklin, WI
National Provider Identifier
1881179299
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
193840 Issued in WI
Practice address
6495 S 27TH St
Franklin, WI 53132-8034
Phone
(414) 574-0253
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 193840 WI Primary

Addresses

Primary practice location

6495 S 27TH St
Franklin, WI 53132-8034

Mailing address

1275 Ridge Rd
Waukesha, WI 53186-1426
Phone (262) 271-7026

Other practice location 1

5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 290-6720

Other practice location 2

201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Phone (414) 290-6720

Other practice location 3

10101 S 27th St
Franklin, WI 53132-7209
Phone (414) 290-6720

Other practice location 4

3237 S 16th St
Milwaukee, WI 53215-4526
Phone (414) 290-6720

Other practice location 5

19333 W North Ave
Brookfield, WI 53045-4132
Phone (414) 290-6720

Other practice location 6

10400 75th St
Kenosha, WI 53142-7884
Phone (262) 948-5600

Other identifiers 1

IdentifierTypeStateIssuer
100083159MedicaidWI

Other names 1

  • Andrea Carlson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aholyszko80370@direct.ascension.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181120000508 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658625124 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Andisthesia LLCGroup PAC ID 8527431154, 3 clinicians
Ias Illinois PCGroup PAC ID 9638530991, 79 clinicians
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians

Practice addresses (Care Compare)

10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 948-7000

1275 Ridge Rd
Waukesha, WI 53186-1426
Phone (262) 271-7026

1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5011

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

6495 S 27TH St
Franklin, WI 53132-8034
Phone (414) 587-7703

Hospital & facility affiliations

  • Beloit Health System Hospital, Beloit, WI, CCN 520100
  • Aurora Medical Center Kenosha Hospital, Kenosha, WI, CCN 520189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
193840WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Savior Healthcare, Inc. CurrentSince Apr 17, 2024 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Jun 1, 2022 Accepting new patients
Priority Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Anesthesia Partners Services, S.C. CurrentSince Jan 20, 2022 Accepting new patients
Andisthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 17, 2022 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Apr 17, 2024 Accepting new patients
Brookfield Anesthesiologists, S.C. CurrentSince Oct 15, 2022 Accepting new patients
Opus Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 12, 2026 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Jun 1, 2022 Accepting new patients
Aurora Medical Group, Inc. Nurse Anesthetist, Certified Registered Current Accepting new patients
Ias Illinois PC CurrentSince Feb 1, 2025 Accepting new patients
Stateline Anesthesiologists SC CurrentSince Aug 29, 2023 Accepting new patients
Chad Novasic PT LTD Past Accepting new patients
Beloit Health System, Inc Past Accepting new patients
Polykarpos Anesthesia LLC Past Accepting new patients
Kenosha Digestive Health Center LLC PastSince Nov 1, 2019 Accepting new patients

Locations (25 of 32)

29980 Network Pl
Chicago, IL 60673

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

Dept CH 17057
Palatine, IL 60055

1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

6495 S 27th St
Franklin, WI 53132
Phone (414) 574-0253

119 Elizabeth Ln
Genoa City, WI 53128
Phone (224) 678-1080

2595 Development Dr
Ste 150
Green Bay, WI 54311
Phone (888) 901-7246

7401 104th Ave
#100
Kenosha, WI 53142
Phone (262) 697-1006

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

7401 104th Ave
Kenosha, WI 53142
Phone (262) 697-1006

2801 W Kinnickinnic River Pkwy
Ste 550
Milwaukee, WI 53215
Phone (414) 385-8780

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

2801 W Kinnickinnic River Pkwy
Ste 1080
Milwaukee, WI 53215
Phone (414) 908-6506

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

88948 Box
Milwaukee, WI 53288

240 Maple Ave
Ste 2220
Mukwonago, WI 53149

6508 S 27th St
Ste 9
Oak Creek, WI 53154

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

2124 Kohler Memorial Dr
Ste 110
Sheboygan, WI 53081
Phone (833) 821-7246

1185 Corporate Center Dr
Ste 125
Summit, WI 53066
Phone (262) 567-3600

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1881179299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 RIDGE RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861426",
            "telephone_number": "262-271-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 S 27TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328034",
            "telephone_number": "414-574-0253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 W Chambers St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532101650",
            "country_code": "US",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Mayfair Rd",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532264216",
            "country_code": "US",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 S 27th St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531327209",
            "country_code": "US",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3237 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532154526",
            "country_code": "US",
            "telephone_number": "414-290-6720",
            "fax_number": "414-296-6755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19333 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530454132",
            "country_code": "US",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10400 75th St",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531427884",
            "country_code": "US",
            "telephone_number": "262-948-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLYSZKO",
        "first_name": "ANDREA",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "193840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100083159",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aholyszko80370@direct.ascension.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "19333 W North Ave",
            "city": "Brookfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530454132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "CARLSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.