Individual provider Active NPI

Vera Marie Borkowski, MS, FNP-C

  • Family Nurse Practitioner
  • Pawcatuck, CT
National Provider Identifier
1962885244
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12006147 Issued in CT
Practice address
91 Voluntown Rd
Pawcatuck, CT 06379-1389
Phone
(860) 599-5477
NPI assigned
Jul 3, 2015
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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 12006147 CT Primary

Addresses

Primary practice location

91 Voluntown Rd
Pawcatuck, CT 06379-1389

Mailing address

19 Janes Lane Ext
Clinton, CT 06413-1218
Phone (860) 754-7083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180214000639 CT Practitioner - Nurse Practitioner 3173883014 Reassigns benefits to 2 organizations
I20221207001969 MA Practitioner - Nurse Practitioner 3173883014 Reassigns benefits to 1 organization
I20230329000966 FL Practitioner - Nurse Practitioner 3173883014 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12006147CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jan 11, 2018 Accepting new patients
Child and Family Agency of Southeastern Connecticut, Inc. CurrentSince Jul 26, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Aug 13, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Aug 13, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 1, 2023 Accepting new patients

Locations

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 329-3727

194 Howard St
New London, CT 06320
Phone (860) 442-0564

255 Hempstead St
New London, CT 06320

7 Vauxhall St
New London, CT 06320
Phone (860) 442-2797

91 Voluntown Rd
Pawcatuck, CT 06379
Phone (860) 599-5477

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

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.

NPI Registry JSON

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1962885244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 JANES LANE EXT",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064131218",
            "telephone_number": "860-754-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 VOLUNTOWN RD",
            "city": "PAWCATUCK",
            "state": "CT",
            "postal_code": "063791389",
            "telephone_number": "860-599-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORKOWSKI",
        "first_name": "VERA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12006147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawcatuck, CT

Sources for this page

Verify at the official NPI Registry.