Active NPI
Kelli Borkowski, ARNP
- Nurse Practitioner
- Ida Grove, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A124171
- 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, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.09 of 100
- Quality
- 92.17
- Promoting interoperability
- 88
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manning Regional Healthcare Center | Nurse Practitioner | Current | Accepting new patients |
| Manning Regional Healthcare Center | Current | Accepting new patients | |
| Manning Regional Healthcare Center | Current | Accepting new patients | |
| Audubon County Memorial Hospital | Current | Accepting new patients | |
| Priority Health and Wellness Center | Current | 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
- https://fhir4.healow.com/fhir/r4/BEDADD/Endpoint/BEDADD
- 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.
-
- Emergency Medicine Physician
- Audubon, IA
- NPI 1730153420
-
- Family Medicine Physician
- Manning, IA
- NPI 1306969175
Nurse Practitioner
-
- Critical Access Hospital
- Manning, IA
- NPI 1467509141
-
- Clinic/Center
- Denison, IA
- NPI 1831831551
-
dba Manning Regional Healthcare Clinic
- Rural Health Clinic/Center
- Manning, IA
- NPI 1528362910
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.