KORI A. BORNEMAN FNP
NPI 1073090965
Nurse Practitioner - Family in Charleston, SC

Q: What is Kori Borneman's NPI number?

The NPI number for Kori Borneman is 1073090965. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Q: What is Kori Borneman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kori Borneman was last updated on November 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 24, 2018PECOS Enrolled

3885 W ASHLEY CIR STE F600, CHARLESTON, SC 29414(843) 402-1360(843) 402-3309 Get Directions Write a Review

NPPES record last updated: November 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2022, May 5, 2021, Apr 2, 2021 and 3 more (6 updates tracked since 2018).

On this page

About Kori A. Borneman Fnp NPPES

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

KORI A. BORNEMAN FNP (NPI 1073090965) is an individual family provider in Charleston, South Carolina, licensed in South Carolina (22245) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073090965

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKORI A. BORNEMANCredential: FNP

Location Address3885 W ASHLEY CIR STE F600Charleston, SC 29414-9273

Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (843) 789-1620 · Fax (843) 724-2440

Phone(843) 402-1360

Fax(843) 402-3309

Sole ProprietorNo

Enumeration DateJuly 24, 2018

Last NPPES UpdateNovember 12, 20226 updates tracked since enumeration

NPPES CertifiedNovember 12, 2022

✔ NPI 1073090965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 22245

3885 W ASHLEY CIR STE F600, Charleston, SC 29414

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Other Identifiers 1

MedicaidNP5480SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kori A. Borneman Fnp 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 29414 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES 5

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

ANNE MARDEL MCDANIEL FNP

Nurse Practitioner (Family)