Jessica D Borderieux, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA052540 Issued in PA

Practice address

606 E Marshall St Ste 107
West Chester, PA 19380-4440

Phone

(610) 439-8440

NPI assigned

Oct 20, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Panzer Dermatology AssociatesGroup PAC ID 6103724745, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.39 of 100Reported as group

Quality

69.25

Promoting interoperability

100

Improvement activities

40

Cost

45.4

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jborderieux@pennderm.emadirect.md

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.

• Panzer Dermatology Associates

  • Specialist
  • Newark, DE
  • NPI 1740201995
  Medicare reassignment Care Compare group
• Pennsylvania Dermatology Partners Inc

  • Dermatology Physician
  • West Lawn, PA
  • NPI 1023382918
  Medicare reassignment
• Drew McCausland MD. LTD.

  • Specialist
  • West Chester, PA
  • NPI 1508980046
  NPD
• Dermatology Partners Unified LLC

  • Dermatology Physician
  • Doylestown, PA
  • NPI 1841113545
  NPD (past)
• Delaware Center for Digestive Care LLC

  • Gastroenterology Physician
  • Newark, DE
  • NPI 1558722561
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1407845654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E MARSHALL ST STE 107",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804440",
            "telephone_number": "610-436-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E MARSHALL ST STE 107",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804440",
            "telephone_number": "610-439-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDERIEUX",
        "first_name": "JESSICA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PA C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2023-03-07",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102515",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C50000622",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291743200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268544200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ardene M Bolton, PT
• Loretta Bonanni-Metkus, MD
• Katie Bongiorno, LMFT
• Jennifer Noelle Boone, DPT
• Bootway Dental LLC
• Patrick Borkland
• Ann Marie Borofski Siegal, MD
• Carolyn Joan Borowski, O.D
• Hailey Lynne Bortner, DR.
• Cameron Bostick

• Physician Assistant in West Chester, PA
• Providers in West Chester, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.