Elisabeth Gessie Borno
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Pawtucket, RI
NPI 1992427439 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1992427439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 04087 (RI)
- Practice address
- 225 Main St
Office #3
Pawtucket, RI 02860 - Phone
- (401) 602-9226
- Fax
- (401) 291-5710
- NPI assigned
- Sep 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Supportive Care I of Rhode Island PC
Lincoln Psychiatric Services, Inc.
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in RI, FL
- 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 |
|---|---|---|---|---|
| I20240719000332 | RI | Practitioner - Nurse Practitioner | 6709322324 | Reassigns benefits to 4 organizations |
| I20250415003182 | FL | Practitioner - Nurse Practitioner | 6709322324 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04087 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current |
Accepting new patients |
| Supportive Care I of Rhode Island PC | Current |
Accepting new patients | |
| Lincoln Psychiatric Services, Inc. | Current |
Accepting new patients | |
| Silou Healthcare | Psychiatric/Mental Health | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 04087 | RI | Yes |
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
Other providers in Pawtucket, RI
- Heather Allison Bonds-Harmon
- Lynne Bongette
- Yvette Bonilla
- Dinora Borges
- Jeffrey M Borkan
- Dawn M Borschel
- Erin R Botelho
- Lauren Megan Botelho
- Erik Bou
- Maureen Dermody Bouris
All providers in Pawtucket, RI · Psychiatric/Mental Health Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2025. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.