GENA MARIE BORGMAN APRN
NPI 1164700092
Nurse Practitioner - Family in Ansonia, CT
About Gena Marie Borgman Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENA MARIE BORGMAN APRN (NPI 1164700092) is an individual family provider in Ansonia, Connecticut, licensed in Connecticut (8467) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Gena Marie Borgman Aprn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Gena Borgman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Derby, CT 06418
- Reassigned Medicare billing, Connecticut enrollment
- 190 clinicians in this Medicare group
Hamden, CT 06514
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Gena Borgman's NPI number?
The NPI number for Gena Borgman is 1164700092. It was assigned to this individual provider in the NPPES registry on July 26, 2011. The provider is also known as Gena Marie Rouse.
Where is Gena Borgman located?
Gena Borgman practices at 22 Westfield Ave Ste 1, Ansonia, CT 06401. The listed phone number is (203) 308-2781.
What is Gena Borgman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gena Borgman enrolled in Medicare?
Yes. Gena Borgman 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.
Which organizations bill Medicare for Gena Borgman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gena Borgman reassigns Medicare benefits to 2 organizations: Griffin Faculty Physicians, Inc. (Derby, CT) and Yale University (Hamden, CT). 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 Gena Borgman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gena Borgman accept?
Health plans from Anthem Blue Cross and Blue Shield list Gena Borgman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gena Borgman was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Gena Marie Borgman, APRN · NPI 1164700092
Family physician in Ansonia, Connecticut. Individual provider, active in the CMS NPPES registry since July 26, 2011.
## Identity
- **NPI:** 1164700092 (Entity type: Individual)
- **Enumerated:** July 26, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 8467 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 WESTFIELD AVE STE 1, Ansonia, CT 06401-1158
- **Phone:** (203) 308-2781
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Griffin Faculty Physicians, Inc. (NPI 1598755605, Derby, CT); Yale University (NPI 1134391824, Hamden, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** June 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164700092) · Data from the CMS NPPES public registry.