Individual provider Active NPI

Megan Louise Borgos, CNNP

  • Critical Care Neonatal Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1164764569
Registry record updated Mar 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
R164604-4 Issued in MN
Practice address
2525 Chicago Ave
Nicu
Minneapolis, MN 55404-4518
Phone
(612) 813-6295
NPI assigned
Mar 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X R164604-4 MN Primary

Addresses

Primary practice location

2525 Chicago Ave
Nicu
Minneapolis, MN 55404-4518

Mailing address

2525 Chicago Ave
Nicu
Minneapolis, MN 55404-4518
Phone (612) 813-6295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20150309002015 MN Practitioner - Nurse Practitioner 0547586653 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R164604-4MNMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Allina Health System Current Accepting new patients
St Francis Regional Medical Center CurrentSince Jan 26, 2016 Accepting new patients
Fairview Health Services CurrentSince Feb 9, 2015 Accepting new patients
Fairview Health Services CurrentSince Feb 9, 2015 Accepting new patients
St. Francis Regional Medical Center CurrentSince Jan 26, 2016 Accepting new patients
Allina Health System CurrentSince Oct 1, 2019 Accepting new patients
Allina Health System CurrentSince Oct 1, 2019 Accepting new patients

Locations

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Organizations & group practices 8

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": "1363996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363996800000",
    "number": "1164764569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CHICAGO AVE",
            "address_2": "NICU",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044518",
            "telephone_number": "612-813-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CHICAGO AVE",
            "address_2": "NICU",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044518",
            "telephone_number": "612-813-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGOS",
        "first_name": "MEGAN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "CNNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-23",
        "last_updated": "2013-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "MN",
            "license": "R164604-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.