Individual provider Active NPI

Elisabeth Gessie Borno

  • Psychiatric/Mental Health Nurse Practitioner
  • Pawtucket, RI
National Provider Identifier
1992427439
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
04087 Issued in RI
Practice address
225 Main St
Office #3
Pawtucket, RI 02860
Phone
(401) 602-9226
Fax
(401) 291-5710
NPI assigned
Sep 12, 2022
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 04087 RI Primary

Addresses

Primary practice location

225 Main St
Office #3
Pawtucket, RI 02860

Mailing address

524 Providence St
Woonsocket, RI 02895-6254
Phone (401) 602-9626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240719000332 RI Practitioner - Nurse Practitioner 6709322324 Reassigns benefits to 4 organizations
I20250415003182 FL Practitioner - Nurse Practitioner 6709322324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Supportive Care I of Rhode Island PCGroup PAC ID 1951793546, 53 clinicians
Lincoln Psychiatric Services, Inc.Group PAC ID 8224068994, 5 clinicians

Practice addresses (Care Compare)

17 Adelphi Ave
Providence, RI 02906-4119
Phone (718) 298-4375

225 Main St
Office 3
Pawtucket, RI 02860-4047
Phone (401) 533-1051

652 George Washington Hwy
Suite 400
Lincoln, RI 02865-4267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Psychiatric Services, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 11, 2025 Accepting new patients
Supportive Care I of Rhode Island PC CurrentSince Jul 1, 2024 Accepting new patients
Silou Healthcare Psychiatric/Mental Health CurrentSince Nov 20, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

652 George Washington Hwy
Unit 400
Lincoln, RI 02865
Phone (401) 334-1830

225 Main St
Ofc 3
Pawtucket, RI 02860
Phone (401) 533-1051

Organizations & group practices 4

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1992427439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 PROVIDENCE ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956254",
            "telephone_number": "401-602-9626",
            "fax_number": "401-291-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MAIN ST",
            "address_2": "OFFICE #3",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-602-9226",
            "fax_number": "401-291-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNO",
        "first_name": "ELISABETH",
        "middle_name": "GESSIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "04087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.