Individual provider Active NPI

Olga Maratovna Borozinski, NP

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1184495848
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
872422 Issued in NV
Practice address
2751 Sunlight Creek St
Henderson, NV 89052-3925
Phone
(702) 767-7868
NPI assigned
Jan 11, 2024
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 872422 NV Primary

Addresses

Primary practice location

2751 Sunlight Creek St
Henderson, NV 89052-3925

Mailing address

2751 Sunlight Creek St
Henderson, NV 89052-3925
Phone (702) 767-7868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240419000552 NV Practitioner - Nurse Practitioner 5092154385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dominic Ricciardi MD LTDGroup PAC ID 9234220542, 2 clinicians

Practice addresses (Care Compare)

5572 S Fort Apache Rd
Suite 110
Las Vegas, NV 89148-3605
Phone (702) 487-7055

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
872422NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dominic Ricciardi MD LTD Single Specialty CurrentSince Apr 1, 2024 Accepting new patients

Locations

5572 S Fort Apache Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 492-8281

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, 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": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1184495848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 SUNLIGHT CREEK ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523925",
            "telephone_number": "702-767-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 SUNLIGHT CREEK ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523925",
            "telephone_number": "702-767-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROZINSKI",
        "first_name": "OLGA",
        "middle_name": "MARATOVNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "872422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.