Anna Borneman

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

29840 Issued in TN

Practice address

3742 Tennessee Ave Ste 106
Chattanooga, TN 37409-1222

Phone

(423) 939-1500

Fax

(423) 939-1503

NPI assigned

Jul 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Lincoln Memorial University Medical Department, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Doc PLLCGroup PAC ID 8820424393, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anna.borneman@488678167609348.direct.elationemr.com

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.

• One Doc PLLC

  • Family Medicine Physician
  • West Lafayette, IN
  • NPI 1265968549

  TN

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1770101958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 TENNESSEE AVE STE 106",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374091222",
            "telephone_number": "423-939-1500",
            "fax_number": "423-939-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 TENNESSEE AVE STE 106",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374091222",
            "telephone_number": "423-939-1500",
            "fax_number": "423-939-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNEMAN",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000223655",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ana Boozer
• Bordash Family Eye Center LLC
• Michael Paul Bordash, O.D.
• Amy Dawn Boren, NP-C
• Todd Patrick Boren, M.D.
• Ashlei Boron
• Eileen Y Boroughs, MD
• Kristy Borum, NURSE PRACTITIONER
• Gustavo Jose Boscan Pinto, FNP
• Gracelyn Cheruba Bose, MD, MBA

• Family Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.