Individual provider Active NPI

Katherine Borrelli-Waters, APRN,FNP-BC

  • Family Nurse Practitioner
  • Erie, PA
National Provider Identifier
1528495959
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015044 Issued in PA
Practice address
120 E 2ND St Ste 100
Erie, PA 16507-1576
Phone
(814) 877-5600
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 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 SP015044 PA Primary

Addresses

Primary practice location

120 E 2ND St Ste 100
Erie, PA 16507-1576

Mailing address

120 E 2ND St Ste 100
Erie, PA 16507-1576
Phone (304) 481-3233

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL borrelliwatersk@upmc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20151021001671 PA Practitioner - Nurse Practitioner 1052549045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

120 E 2ND St
4TH Floor
Erie, PA 16507-1537
Phone (814) 453-6751

201 State St
Erie, PA 16550-0002
Phone (412) 383-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015044PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Jan 1, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 21, 2015 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 21, 2015 Accepting new patients

Locations

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

120 E 2nd St
Fl 4
Erie, PA 16507
Phone (814) 453-6751

120 E 2nd St
Ste 100
Erie, PA 16507
Phone (814) 877-5600

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

Interoperability endpoints

  • Direct secure messaging: kborrelliwaters42816@upmc.direct-ci.com
  • Direct secure messaging: katherine.borrelliwaters@upmcdirect.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1528495959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071576",
            "telephone_number": "304-481-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071576",
            "telephone_number": "814-877-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRELLI-WATERS",
        "first_name": "KATHERINE",
        "credential": "APRN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "borrelliwatersk@upmc.edu",
            "affiliation": "N",
            "address_1": "120 E 2nd St Ste 100",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165071576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.