Julie Dorsey Boersen, RN FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Horseheads, NY
NPI 1790877611 · NPPES record last updated Mar 12, 2021
Key facts
- NPI
- 1790877611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NYF332105 1 (NY)
- Practice address
- 3344 Chambers Rd
Horseheads, NY 14845-1403 - Phone
- (607) 333-3191
- Fax
- (570) 887-6822
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080325000340 | NY | Practitioner - Nurse Practitioner | 3072699503 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F332105-1 | NY | MD | Nurse Practitioner |
| NYF332105 1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current |
Accepting new patients | |
| Guthrie Medical Group, P.C. | Current |
Accepting new patients | |
| Guthrie Medical Group PC | Past | Accepting new patients | |
| Fort Edward Rescue Squad Inc | Past | Accepting new patients |
Locations
7603 State Route 54
Bath, NY 14810
Phone (607) 776-0163
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
1336 Cedar St
Elmira, NY 14904
Phone (607) 734-3929
600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639
3344 Chambers Rd
Horseheads, NY 14845
Phone (607) 734-2264
1780 Hanshaw Rd
Ithaca, NY 14850
Phone (607) 257-5858
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F332105-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | NYF332105 1 | NY | Yes |
Addresses
Primary practice location
3344 Chambers Rd
Horseheads, NY 14845-1403
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02277452 | Medicaid | NY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jboersen47165@direct-guthrie.org | Direct |
Other providers in Horseheads, NY
- Justin Bigg
- Rebecca Lynn Bjorck
- Susan White Blanchard
- Heather Blitz
- Megan Hays Blitz
- Stephen Joseph Bohac
- Clifford H Bough
- Dawn Marie Boyd
- Samuel Bozuhoski
- Patricia Ann Brantner
All providers in Horseheads, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.