Individual provider Active NPI

Priscilla Kay Borden, M.D.

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1497104566
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016018494 Issued in MO
Practice address
6675 Holmes Rd
Suite 360
Kansas City, MO 64131-1150
Phone
(816) 276-7650
Fax
(816) 276-7992
NPI assigned
Jun 8, 2016
Last updated
Jun 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2016018494 MO Primary

Addresses

Primary practice location

6675 Holmes Rd
Suite 360
Kansas City, MO 64131-1150

Mailing address

12436 Jackson Ave
Grandview, MO 64030-1592
Phone (816) 699-1183

Other identifiers 1

IdentifierTypeStateIssuer
2016018494MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191010000831 MO Practitioner - Family Practice 2365738986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cass Regional Medical CenterGroup PAC ID 7517853781, 44 clinicians

Practice addresses (Care Compare)

2800 E Rock Haven Rd
Harrisonville, MO 64701-4411
Phone (816) 380-5888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
P&C Healthcare LLC CurrentSince Mar 15, 2021 Accepting new patients
Cass Regional Medical Center CurrentSince Sep 1, 2019 Accepting new patients
Cass Regional Medical Center CurrentSince Sep 1, 2019 Accepting new patients
P & C Consultant Services Past Accepting new patients

Locations

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD
  • Direct secure messaging: priscilla.borden@cassregional.direct-ci.com

Organizations & group practices 4

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.

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1497104566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12436 JACKSON AVE",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301592",
            "telephone_number": "816-699-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD",
            "address_2": "SUITE 360",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311150",
            "telephone_number": "816-276-7650",
            "fax_number": "816-276-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "PRISCILLA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016018494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016018494",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.