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KATHLEEN M BOREALE NP
NPI 1043299431
Nurse Practitioner - Family in Summit, NJ

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
11 OVERLOOK ROAD, SUITE B110, SUMMIT, NJ 07901(908) 522-2709 Get Directions Write a Review

NPPES record last updated: November 17, 2008. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Kathleen M Boreale Np NPPES

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

KATHLEEN M BOREALE NP (NPI 1043299431) is an individual family provider in Summit, New Jersey, licensed in New Jersey (26NJ00000800) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Overlook Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1043299431
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN M BOREALECredential: NP
Location Address11 OVERLOOK ROAD, SUITE B110Summit, NJ 07901-3577
Mailing Address158 W 27th St, 11th Floor SouthNew York, NY 10001-6216 · (212) 563-2497
Phone(908) 522-2709
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 13, 2006
Last NPPES UpdateNovember 17, 2008
✔ NPI 1043299431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00000800
Also ListedAnesthesiologyTaxonomy 207L00000X · License 26NJ0000080 (NJ)
11 OVERLOOK ROAD, Summit, NJ 07901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen M Boreale Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709867740
PECOS Enrollment IDI20040526001295
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07901 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability93
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

MS. DANIELLE KNIGHT APN-C
Nurse Practitioner (Primary Care)
11 OVERLOOK ROAD, MAC II BUILDING, SUITE LL 101
SUMMIT, NJ 07901
Union County (908) 522-5900
DR. SETH R STOLLER M.D.
Psychiatry & Neurology (Neurology)
11 OVERLOOK ROAD, B110
SUMMIT, NJ 07901
Union County (908) 522-2709

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 Kathleen Boreale's NPI number?

The NPI number for Kathleen Boreale is 1043299431. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Kathleen Boreale located?

Kathleen Boreale practices at 11 Overlook Road Suite B110, Summit, NJ 07901. The listed phone number is (908) 522-2709.

What is Kathleen Boreale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathleen Boreale enrolled in Medicare?

Yes. Kathleen Boreale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kathleen Boreale affiliated with any hospitals?

According to CMS data, Kathleen Boreale is affiliated with Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Kathleen Boreale was last updated on November 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.