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GENA MARIE BORGMAN APRN
NPI 1164700092
Nurse Practitioner - Family in Ansonia, CT

Active since July 26, 2011PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
22 WESTFIELD AVE STE 1, ANSONIA, CT 06401(203) 308-2781 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2020, Apr 21, 2020, Aug 21, 2019 (3 updates tracked since 2019).

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

NPI1164700092
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGENA MARIE BORGMANCredential: APRN
Location Address22 WESTFIELD AVE STE 1Ansonia, CT 06401-1158
Mailing Address22 Westfield Ave Ste 1Ansonia, CT 06401-1158 · (203) 308-2781
Phone(203) 308-2781
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 26, 2011
Last NPPES UpdateJune 28, 20223 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
✔ NPI 1164700092 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 CT · 8467
22 WESTFIELD AVE STE 1, Ansonia, CT 06401
Open in Google Maps ↗

Other Names 1

Former Name (1)Gena Marie Rouse

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

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.

PECOS PAC ID3375785280
PECOS Enrollment IDI20200511002029
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services50 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services28 patients

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.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

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.

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.