Individual provider Active NPI

Kelli Borkowski, ARNP

  • Nurse Practitioner
  • Ida Grove, IA
National Provider Identifier
1245717263
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A124171 Issued in IA
Practice address
101 2ND St
Ida Grove, IA 51445-1401
Phone
(712) 364-2300
Fax
(712) 364-2881
NPI assigned
Jul 23, 2018
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A124171 IA Primary

Addresses

Primary practice location

101 2ND St
Ida Grove, IA 51445-1401

Mailing address

2540 N Ave
Denison, IA 51442-7584
Phone (712) 263-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20181214002688 IA Practitioner - Nurse Practitioner 7618212986 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.09 of 100Reported as group
Quality
92.17
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Manning Regional Healthcare Center Nurse Practitioner CurrentSince Dec 1, 2019 Accepting new patients
Manning Regional Healthcare Center Current Accepting new patients
Manning Regional Healthcare Center CurrentSince Dec 1, 2019 Accepting new patients
Audubon County Memorial Hospital CurrentSince Jul 15, 2021 Accepting new patients
Priority Health and Wellness Center CurrentSince Apr 17, 2022 Accepting new patients

Locations

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

210 S 7th St
Denison, IA 51442
Phone (402) 651-9407

1550 6th St
Manning, IA 51455
Phone (712) 655-2072

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEDADD/Endpoint/BEDADD
  • Direct secure messaging: kborkowski228207@uihcdirect.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1245717263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 N AVE",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514427584",
            "telephone_number": "712-263-3033",
            "fax_number": "712-263-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451401",
            "telephone_number": "712-364-2300",
            "fax_number": "712-364-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORKOWSKI",
        "first_name": "KELLI",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A124171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ida Grove, IA

Sources for this page

Verify at the official NPI Registry.