TILLIE BORRELLI DNP
NPI 1154872539
Nurse Practitioner - Family in Draper, UT
About Tillie Borrelli Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TILLIE BORRELLI DNP (NPI 1154872539) is an individual family provider in Draper, Utah, licensed in Utah (6637908-4405) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tillie Borrelli Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Tillie Borrelli reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Jordan, UT 84095
- Reassigned Medicare billing, Utah enrollment
- 295 clinicians in this Medicare group
Midvale, UT 84047
- Reassigned Medicare billing, Utah enrollment
- 75 clinicians in this Medicare group
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 339 clinicians in this Medicare group
Diamond Bar, CA 91765
- Reassigned Medicare billing, California enrollment
- 283 clinicians in this Medicare group
Long Beach, CA 90802
- Reassigned Medicare billing, Idaho and Mississippi enrollments
- 71 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DRAPER, UT 84020
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 Tillie Borrelli's NPI number?
The NPI number for Tillie Borrelli is 1154872539. It was assigned to this individual provider in the NPPES registry on October 20, 2016.
Where is Tillie Borrelli located?
Tillie Borrelli practices at 12921 S Vista Station Blvd, Draper, UT 84020. The listed phone number is (801) 823-5811.
What is Tillie Borrelli's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tillie Borrelli enrolled in Medicare?
Yes. Tillie Borrelli is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tillie Borrelli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tillie Borrelli reassigns Medicare benefits to 5 organizations: University Of Utah Community Physicians Group (South Jordan, UT), Molina Healthcare Of Utah Inc (Midvale, UT), Molina Healthcare Of California (Lancaster, CA), Central Health Plan Of California, Inc. (Diamond Bar, CA) and Molina Care Connections, LLC. (Long Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tillie Borrelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tillie Borrelli was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Tillie Borrelli, DNP · NPI 1154872539
Family physician in Draper, Utah. Individual provider, active in the CMS NPPES registry since October 20, 2016.
## Identity
- **NPI:** 1154872539 (Entity type: Individual)
- **Enumerated:** October 20, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 6637908-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 12921 S VISTA STATION BLVD, Draper, UT 84020-2376
- **Phone:** (801) 823-5811
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): University Of Utah Community Physicians Group (NPI 1780088351, South Jordan, UT); Molina Healthcare Of Utah Inc (NPI 1619486396, Midvale, UT); Molina Healthcare Of California (NPI 1508970955, Lancaster, CA); Central Health Plan Of California, Inc. (NPI 1386714772, Diamond Bar, CA); Molina Care Connections, LLC. (NPI 1407243223, Long Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1154872539) · Data from the CMS NPPES public registry.