Individual provider Active NPI

Jessica Borbon, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1487146031
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11326 Issued in AZ
Practice address
101 W Irvington Rd
Tucson, AZ 85714-3050
Phone
(520) 670-3909
NPI assigned
May 30, 2018
Last updated
Nov 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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 AP11326 AZ Primary

Addresses

Primary practice location

101 W Irvington Rd
Tucson, AZ 85714-3050

Mailing address

101 W Irvington Rd
Tucson, AZ 85714-3050
Phone (520) 670-3909

Other practice location 1

225 West Ajo Way
Tucson, AZ 85713
Phone (520) 635-9103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180719003655 AZ Practitioner - Nurse Practitioner 5294082368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Medical PartnersGroup PAC ID 0749560647, 10 clinicians

Practice addresses (Care Compare)

1700 E River Rd
Suite 65177
Tucson, AZ 85728-3049
Phone (520) 635-9103

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11326AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Medical Partners CurrentSince Jun 1, 2020 Accepting new patients
Pathways Medical Partners Current Accepting new patients
Catalina Hospice PLLC CurrentSince Jul 23, 2020 Accepting new patients

Locations

1700 E River Rd
Unit 65177
Tucson, AZ 85728
Phone (520) 635-9103

225 W Ajo Way
Tucson, AZ 85713
Phone (520) 268-4690

3978 N Campbell Ave
Tucson, AZ 85719
Phone (520) 325-3978

Interoperability endpoints

  • Direct secure messaging: jborbon18107@elrio.direct.ci.com
  • Direct secure messaging: jessica.borbon.1@25270.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Catalina Hospice PLLCTucson, AZ, CCN 031742 Hospice 5% Or Greater Direct Ownership Interest (20%)
Corporate Officer (100%)
Jul 23, 2020
Jul 23, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1487146031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W IRVINGTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857143050",
            "telephone_number": "520-670-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W IRVINGTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857143050",
            "telephone_number": "520-670-3909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 West Ajo Way",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85713",
            "country_code": "US",
            "telephone_number": "520-635-9103",
            "fax_number": "520-336-9179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORBON",
        "first_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.