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SPENCER BORNS DNP, APRN
NPI 1215387907
Nurse Practitioner - Adult Health in Omaha, NE

Active since June 14, 2016PECOS EnrolledAccepts Medicare Assignment
7500 MERCY RD, OMAHA, NE 68124(855) 524-4001(402) 398-5589 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Spencer Borns Dnp, Aprn NPPES

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

SPENCER BORNS DNP, APRN (NPI 1215387907) is an individual adult health provider in Omaha, Nebraska, licensed in Nebraska (112026) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Chi Health Mercy Council Bluffs, and is a graduate of Creighton University School Of Medicine (2016).

NPPES Registry Identity

NPI1215387907
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameSPENCER BORNSCredential: DNP, APRN
Location Address7500 MERCY RDOmaha, NE 68124-2319
Mailing Address7261 Mercy RdOmaha, NE 68124-2311 · (402) 398-6255
Phone(855) 524-4001
Fax(402) 398-5589
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2016
Enumeration DateJune 14, 2016
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1215387907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in NE · 112026✔ Licensed in IA · H144157
7500 MERCY RD, Omaha, NE 68124
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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

Spencer Borns Dnp, 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 ID4587955125
PECOS Enrollment IDI20160629000449, I20160823001875
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 Spencer Borns reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alegent Creighton Clinic
Same address
Family Medicine
7500 MERCY RD
Omaha, NE 68124
  • Reassigned Medicare billing, Nebraska and Iowa enrollments
  • Also billed through NPI 1518227859 (Iowa)
  • 1,045 clinicians in this Medicare group
NPI 1548287907 (402) 717-2500

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 6

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services18 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.
25 services22 patients
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.
19 services17 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.
13 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Chi Health Mercy Council Bluffs

Acute Care Hospitals · Council Bluffs, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160028
Location800 Mercy DriveCouncil Bluffs, IA 51503 · Pottawattamie County
Emergency services Birthing friendly

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Chi Health Midlands

Acute Care Hospitals · Papillion, NE
OwnershipVoluntary non-profit - Church
CMS Certification Number280105
Location11111 South 84th StPapillion, NE 68046 · Sarpy County
Emergency services

Chi Health Lakeside

Acute Care Hospitals · Omaha, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280130
Location16901 Lakeside Hills CtOmaha, NE 68130 · Douglas County
Emergency services Birthing friendly

Chi Health St. Mary's

Critical Access Hospitals · Nebraska City, NE
OwnershipVoluntary non-profit - Church
CMS Certification Number281342
Location1301 Grundman BlvdNebraska City, NE 68410 · Otoe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68124 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers17 claims17 services$34.70 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers13 claims13 services$73.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers15 claims35 services$28.36 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers14 claims14 services$17.01 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers23 claims105 services$1.82 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471
DME-Other DME · category DE001N
2 suppliers13 claims13 services$186.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MATTHEW JOHN KAPALIS DO
Internal Medicine (Clinical Cardiac Electrophysiology)
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6255
DR. JOHN FRANCIS GUYNAN M.D.
Radiology (Diagnostic Radiology)
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 597-8775
OLIVIA B TEDESCO APRN
Nurse Practitioner (Neonatal, Critical Care)
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6014
AUSTIN TYLER CAMPBELL CRNA
Nurse Anesthetist, Certified Registered
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6060
MS. ELISE ANN PLAUTZ APRN
Nurse Practitioner
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6060
JASON CROMER CRNA
Nurse Anesthetist, Certified Registered
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6060
ZACHARY KNICKY
Nurse Anesthetist, Certified Registered
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6060
DR. SAHIL MULLICK M.D.
Hospitalist
7500 MERCY RD, CU DEPARTMENT OF FAMILY MEDICINE
OMAHA, NE 68124
Douglas County (855) 524-4001

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 Spencer Borns's NPI number?

The NPI number for Spencer Borns is 1215387907. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Spencer Borns located?

Spencer Borns practices at 7500 Mercy Rd, Omaha, NE 68124. The listed phone number is (855) 524-4001.

What is Spencer Borns's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Spencer Borns enrolled in Medicare?

Yes. Spencer Borns 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 organization bills Medicare for Spencer Borns's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Borns reassigns Medicare benefits to Alegent Creighton Clinic (Omaha, NE). The 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 Spencer Borns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Spencer Borns accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Spencer Borns 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.

Is Spencer Borns affiliated with any hospitals?

According to CMS data, Spencer Borns is affiliated with Chi Health Mercy Council Bluffs, Chi Health Bergan Mercy, Chi Health Midlands, Chi Health Lakeside and Chi Health St. Mary's.

When was this NPI record last updated?

The NPPES record for Spencer Borns was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.