Individual provider Active NPI

Jennifer Debra Borson, M.D.

  • Obstetrics & Gynecology Physician
  • Novi, MI
National Provider Identifier
1740542141
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301100940 Issued in MI
Practice address
46325 W 12 Mile Rd
Suite 250
Novi, MI 48377-2456
Phone
(248) 465-1200
Fax
(248) 465-2850
NPI assigned
Jun 12, 2012
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301100940 MI Primary

Addresses

Primary practice location

46325 W 12 Mile Rd
Suite 250
Novi, MI 48377-2456

Mailing address

46325 W 12 Mile Rd
Suite 250
Novi, MI 48377-2456
Phone (248) 465-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160603002078 MI Practitioner - Obstetrics/Gynecology 0648560581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of Michigan PLCGroup PAC ID 0345626073, 91 clinicians

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000

46325 W 12 Mile Rd
Suite 250
Novi, MI 48377-2461
Phone (248) 465-1200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital CurrentSince Jan 23, 2024 Accepting new patients
Henry Ford Health Providence Hospital Obstetrics & Gynecology CurrentSince Jan 23, 2024 Accepting new patients
Henry Ford Health Providence Hospital Obstetrics & Gynecology Current Accepting new patients
Uwh of Michigan PLC Obstetrics & Gynecology CurrentSince Oct 1, 2022 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

1560 Turf Ln
East Lansing, MI 48823
Phone (517) 484-3000

30055 Northwestern Hwy
Ste 235
Farmington Hills, MI 48334
Phone (248) 737-4600

46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: jborson1118224@direct.hfhs.org
  • Direct secure messaging: jennifer.borson.1@26060.direct.athenahealth.com

Organizations & group practices 5

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 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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1740542141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD",
            "address_2": "SUITE 250",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772456",
            "telephone_number": "248-465-1200",
            "fax_number": "248-465-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD",
            "address_2": "SUITE 250",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772456",
            "telephone_number": "248-465-1200",
            "fax_number": "248-465-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORSON",
        "first_name": "JENNIFER",
        "middle_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301100940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.