KELBY BORCHGREVINK
NPI 1023530219
Physician Assistant in Fresno, CA

Active since July 10, 2017PECOS Enrolled
3425 N 1ST ST, FRESNO, CA 93726(559) 608-6581 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 5, 2022, Jul 10, 2017 (3 updates tracked since 2017).

About Kelby Borchgrevink NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELBY BORCHGREVINK (NPI 1023530219) is an individual physician assistant in Fresno, California, licensed in California (63438) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Laramie.

NPPES Registry Identity

NPI1023530219
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKELBY BORCHGREVINK
Location Address3425 N 1ST STFresno, CA 93726-6821
Mailing Address4908 Brahma StGillette, WY 82718-8503 · (307) 257-3417
Sole ProprietorYes
Enumeration DateJuly 10, 2017
Last NPPES UpdateDecember 18, 20233 updates tracked since enumeration
NPPES CertifiedDecember 18, 2023
NPI 1023530219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 63438
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3425 N 1ST ST, Fresno, CA 93726

Secondary Practice Location 1

Location 14989 N 3rd StLaramie, WY 82072-9548 · Phone (307) 745-8997

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelby Borchgrevink is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93726 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
3425 N 1ST ST
FRESNO, CA 93726
Internal Medicine
3425 N 1ST ST
FRESNO, CA 93726
Physician Assistant
3425 N 1ST ST
FRESNO, CA 93726
Nurse Practitioner (Family)
3425 N 1ST ST
FRESNO, CA 93726
Nurse Practitioner (Family)
3425 N 1ST ST
FRESNO, CA 93726
Family Medicine
3425 N 1ST ST
FRESNO, CA 93726
Student in an Organized Health Care Education/Training Program
3425 N 1ST ST
FRESNO, CA 93726
Nurse Practitioner (Family)
3425 N 1ST ST
FRESNO, CA 93726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelby Borchgrevink's NPI number?

The NPI number for Kelby Borchgrevink is 1023530219. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Kelby Borchgrevink located?

Kelby Borchgrevink practices at 3425 N 1st St, Fresno, CA 93726. The listed phone number is (559) 608-6581.

What is Kelby Borchgrevink's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelby Borchgrevink enrolled in Medicare?

Yes. Kelby Borchgrevink is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelby Borchgrevink was last updated on December 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.