Individual provider Active NPI

Gena Marie Borgman, APRN

  • Family Nurse Practitioner
  • Ansonia, CT
National Provider Identifier
1164700092
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8467 Issued in CT
Practice address
22 Westfield Ave Ste 1
Ansonia, CT 06401-1158
Phone
(203) 308-2781
NPI assigned
Jul 26, 2011
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8467 CT Primary

Addresses

Primary practice location

22 Westfield Ave Ste 1
Ansonia, CT 06401-1158

Mailing address

22 Westfield Ave Ste 1
Ansonia, CT 06401-1158
Phone (203) 308-2781

Other names 1

  • Gena Marie Rouse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20200511002029 CT Practitioner - Nurse Practitioner 3375785280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

6 Devine St
North Haven, CT 06473-2195
Phone (203) 287-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince May 1, 2020 Accepting new patients
Yale University CurrentSince May 1, 2020 Accepting new patients
Griffin Faculty Physicians, Inc. CurrentSince Aug 26, 2022 Accepting new patients

Locations

22 Westfield Ave
Ste 1
Ansonia, CT 06401
Phone (203) 308-2781

130 Division St
Derby, CT 06418
Phone (203) 732-1330

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

6 Devine St
North Haven, CT 06473
Phone (203) 230-3940

Interoperability endpoints

  • Direct secure messaging: gborgman455902@direct.ynhh.org

Organizations & group practices 3

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.

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": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1164700092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WESTFIELD AVE STE 1",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011158",
            "telephone_number": "203-308-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WESTFIELD AVE STE 1",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011158",
            "telephone_number": "203-308-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGMAN",
        "first_name": "GENA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENA",
            "last_name": "ROUSE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ansonia, CT

Sources for this page

Verify at the official NPI Registry.