FAKIRA SOUMAILA-BORKOVEC FNP-C
NPI 1144879222
Nurse Practitioner - Family in Watertown, NY

Q: What is Fakira Soumaila-borkovec's NPI number?

The NPI number for Fakira Soumaila-borkovec is 1144879222. It was assigned to this individual provider in the NPPES registry on September 10, 2019. The provider is also known as Fakira Borkovec.

Q: What is Fakira Soumaila-borkovec's specialty?

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

Active since September 10, 2019PECOS EnrolledAccepts Medicare Assignment

1575 WASHINGTON ST, WATERTOWN, NY 13601(315) 785-4155(315) 779-5066 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2024, Sep 10, 2019 (2 updates tracked since 2019).

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About Fakira Soumaila-borkovec Fnp-c NPPES

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

FAKIRA SOUMAILA-BORKOVEC FNP-C (NPI 1144879222) is an individual family provider in Watertown, New York, licensed in New York (351629) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1144879222

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameFAKIRA SOUMAILA-BORKOVECCredential: FNP-C

Location Address1575 WASHINGTON STWatertown, NY 13601-9371

Mailing Address1575 Washington StWatertown, NY 13601-9371 · (315) 785-4155 · Fax (315) 779-5066

Phone(315) 785-4155

Fax(315) 779-5066

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 10, 2019

Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1144879222 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

Licenses✔ Licensed in NY · 351629✔ Licensed in AK · 148626

1575 WASHINGTON ST, Watertown, NY 13601

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Other Names 1

Former Name (1)Fakira Borkovec

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fakira Soumaila-borkovec Fnp-c 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 ID8123455763

PECOS Enrollment IDI20241107000839

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.

Medicare Billing Reassignment

Medicare enrollment records show Fakira Soumaila-borkovec reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Samaritan Medical Center

1.0 mi

Rehabilitation Unit

830 WASHINGTON ST
Watertown, NY 13601

Reassigned Medicare billing, New York enrollment
183 clinicians in this Medicare group

NPI 1093722068 (315) 786-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330157

Location830 Washington StreetWatertown, NY 13601 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13601 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 20

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

JAQUANA MENDEZ CASAC

Counselor (Addiction (Substance Use Disorder))