Individual provider Active NPI

Trista Hidy Borg, APRN

  • Family Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1306494075
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112939 Issued in NE
Practice address
611 W Francis St Ste 100
North Platte, NE 69101-0614
Phone
(308) 534-2532
Fax
(308) 534-6615
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 112939 NE Primary

Addresses

Primary practice location

611 W Francis St Ste 100
North Platte, NE 69101-0614

Mailing address

611 W Francis St Ste 100
North Platte, NE 69101-0614
Phone (308) 534-2532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20190925002115 NE Practitioner - Nurse Practitioner 6709116247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midlands Family MedicineGroup PAC ID 9830115500, 11 clinicians

Practice addresses (Care Compare)

611 W Francis St
Suite 100
North Platte, NE 69101-0614
Phone (308) 534-2532

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midlands Family Medicine CurrentSince Sep 16, 2019 Accepting new patients

Locations

611 W Francis St
Ste 100
North Platte, NE 69101
Phone (308) 534-2532

Interoperability endpoints

  • Direct secure messaging: tristaborg@midlandfm.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1306494075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W FRANCIS ST STE 100",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010614",
            "telephone_number": "308-534-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W FRANCIS ST STE 100",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010614",
            "telephone_number": "308-534-2532",
            "fax_number": "308-534-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORG",
        "first_name": "TRISTA",
        "middle_name": "HIDY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.