Individual provider Active NPI

Kristen Denise Borchelt, APRN, FNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1700238730
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
019317 Issued in OH
Practice address
6507 Harrison Ave Unit I
Cincinnati, OH 45247-2815
Phone
(513) 770-4212
Fax
(513) 347-3076
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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 019317 OH Primary

Addresses

Primary practice location

6507 Harrison Ave Unit I
Cincinnati, OH 45247-2815

Mailing address

6507 Harrison Ave Unit I
Cincinnati, OH 45247-2815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170406002170 OH Practitioner - Nurse Practitioner 2961788831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians

Practice addresses (Care Compare)

5300 Far Hills Ave
Dayton, OH 45429-2381
Phone (937) 433-7536

7691 5 Mile Rd
Suite 312
Cincinnati, OH 45230-4348
Phone (513) 232-3332

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologists of Southwestern Ohio, LLC. CurrentSince Apr 17, 2023 Accepting new patients
Dermatology & Surgery of Southern Ohio, Inc. PastSince Nov 14, 2016 Accepting new patients

Locations

4243 Hunt Rd
Ste 100
Blue Ash, OH 45242

7691 5 Mile Rd
Ste 312
Cincinnati, OH 45230
Phone (513) 232-3332

1011 W 8th St
Cincinnati, OH 45203

5300 Far Hills Ave
Dayton, OH 45429
Phone (513) 433-7536

Interoperability endpoints

  • Direct secure messaging: kborchelt@dermswohio.emadirect.md

Organizations & group practices 2

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1700238730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 HARRISON AVE UNIT I",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452472815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 HARRISON AVE UNIT I",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452472815",
            "telephone_number": "513-770-4212",
            "fax_number": "513-347-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCHELT",
        "first_name": "KRISTEN",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2022-01-27",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "019317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.