Individual provider Active NPI

Erin Rose Borns, PA

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1639562630
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1905 Issued in NE
Practice address
8303 Dodge Street
Suite 250
Omaha, NE 68114
Phone
(402) 354-8124
Fax
(402) 354-8127
NPI assigned
Mar 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1905 NE Primary

Addresses

Primary practice location

8303 Dodge Street
Suite 250
Omaha, NE 68114

Mailing address

17445 Arbor Street
Suite 310
Omaha, NE 68130
Phone (531) 444-1206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20171206001471 NE Practitioner - Physician Assistant 9032421664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology West PCGroup PAC ID 8426030024, 56 clinicians

Practice addresses (Care Compare)

17201 Wright St
Suite 200
Omaha, NE 68130-2042
Phone (402) 334-4773

611 Fenwick Dr
Papillion, NE 68046-5706
Phone (402) 593-3141

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 393-3110

8303 Dodge St
Suite 250
Omaha, NE 68114-4108
Phone (402) 354-8124

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
89.93
Promoting interoperability
100
Improvement activities
40
Cost
54.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology West, PC CurrentSince Dec 26, 2023 Accepting new patients

Locations

201 Ridge St
Ste 201
Council Bluffs, IA 51503
Phone (712) 322-5899

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

7500 Mercy Rd
Ste 1300
Omaha, NE 68124
Phone (402) 334-4773

17201 Wright St
Ste 200
Omaha, NE 68130
Phone (402) 334-4773

7500 Mercy Rd
#1300
Omaha, NE 68124
Phone (402) 393-3110

8303 Dodge St
Ste 250
Omaha, NE 68114
Phone (402) 354-8124

17445 Arbor St
Ste 310
Omaha, NE 68130

611 Fenwick Dr
Papillion, NE 68046
Phone (402) 593-3141

Organizations & group practices 1

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": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1639562630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17445 ARBOR STREET",
            "address_2": "SUITE 310",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68130",
            "telephone_number": "531-444-1206",
            "fax_number": "402-445-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 DODGE STREET",
            "address_2": "SUITE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "402-354-8124",
            "fax_number": "402-354-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNS",
        "first_name": "ERIN",
        "middle_name": "ROSE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-15",
        "last_updated": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.