Carol Sue Borchardt, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704215145 Issued in MI

Practice address

725 E State St
Sterling, MI 48659-9548

Phone

(989) 654-2491

Fax

(989) 654-2190

NPI assigned

Jan 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Schoolcraft Memorial Hospital

  • Critical Access Hospital
  • Manistique, MI
  • NPI 1700805157
  Medicare reassignment NPD

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

{
    "created_epoch": "1231545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1922245117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E STATE ST",
            "address_2": "P.O. BOX 740",
            "city": "STERLING",
            "state": "MI",
            "postal_code": "486599548",
            "telephone_number": "989-654-2491",
            "fax_number": "989-654-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E STATE ST",
            "city": "STERLING",
            "state": "MI",
            "postal_code": "486599548",
            "telephone_number": "989-654-2491",
            "fax_number": "989-654-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCHARDT",
        "first_name": "CAROL",
        "middle_name": "SUE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-10",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704215145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922245117",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bassel Ahmad, M.D.
• Ivette H Baker, MD
• Johnie C Baker, MD
• Danyelle Barber
• Susan Marie Blair, RD
• Caroline Ann Buday
• Dominique Clement, LMSW
• Allison Kathleen Collier, DO
• Ashley Meirow Conyer, FNP
• Audette Marie Crain, M.A.LLPC

• Family Nurse Practitioner in Sterling, MI
• Providers in Sterling, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.