Individual provider Active NPI

Christine Borgstrom, FNP

  • Family Nurse Practitioner
  • Escanaba, MI
National Provider Identifier
1376852608
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704221582 Issued in MI
Practice address
3409 Ludington St Ste 103
Escanaba, MI 49829-4213
Phone
(906) 789-4040
Fax
(906) 789-4044
NPI assigned
Oct 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 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 4704221582 MI Primary

Addresses

Primary practice location

3409 Ludington St Ste 103
Escanaba, MI 49829-4213

Mailing address

3409 Ludington St Ste 103
Escanaba, MI 49829-4213
Phone (906) 789-4040

Other names 1

  • Christine Laviolette Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110321000955 MI Practitioner - Nurse Practitioner 7416130919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis HospitalGroup PAC ID 5991604753, 85 clinicians

Practice addresses (Care Compare)

3409 Ludington St
Suite 103
Escanaba, MI 49829-4213
Phone (906) 786-4040

Hospital & facility affiliations

  • Osf St Francis Hospital and Medical Group Hospital, Escanaba, MI, CCN 231337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704221582MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital CurrentSince Feb 18, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
St Francis Hospital CurrentSince Feb 18, 2024 Accepting new patients
St. Francis Hospital Current Accepting new patients
St Francis Hospital Past Accepting new patients

Locations

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

3409 Ludington St
Ste 103
Escanaba, MI 49829
Phone (906) 789-4040

Interoperability endpoints

  • Direct secure messaging: christine.borgstrom@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: christine.borgstrom.1@22710.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1376852608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 LUDINGTON ST STE 103",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294213",
            "telephone_number": "906-789-4040",
            "fax_number": "906-789-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 LUDINGTON ST STE 103",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294213",
            "telephone_number": "906-789-4040",
            "fax_number": "906-789-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGSTROM",
        "first_name": "CHRISTINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704221582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "LAVIOLETTE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Escanaba, MI

Sources for this page

Verify at the official NPI Registry.