MITCHELL IRA BORISKIN FNP
NPI 1376626655
Nurse Practitioner in Oakridge, OR
About Mitchell Ira Boriskin Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITCHELL IRA BORISKIN FNP (NPI 1376626655) is an individual nurse practitioner in Oakridge, Oregon, licensed in Oregon (85073033N1) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mitchell Ira Boriskin Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mitchell Boriskin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pleasant Hill, OR 97455
- Reassigned Medicare billing, Oregon enrollment
- 190 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 97463 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mitchell Boriskin's NPI number?
The NPI number for Mitchell Boriskin is 1376626655. It was assigned to this individual provider in the NPPES registry on October 23, 2006.
Where is Mitchell Boriskin located?
Mitchell Boriskin practices at 48134 Highway 58, Oakridge, OR 97463. The listed phone number is (541) 640-7625.
What is Mitchell Boriskin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mitchell Boriskin enrolled in Medicare?
Yes. Mitchell Boriskin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mitchell Boriskin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Boriskin reassigns Medicare benefits to Icco LLC (Pleasant Hill, OR). 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 Mitchell Boriskin'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 Mitchell Boriskin was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mitchell Ira Boriskin, FNP · NPI 1376626655
Nurse Practitioner physician in Oakridge, Oregon. Individual provider, active in the CMS NPPES registry since October 23, 2006.
## Identity
- **NPI:** 1376626655 (Entity type: Individual)
- **Enumerated:** October 23, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 85073033N1 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 48134 HIGHWAY 58, Oakridge, OR 97463-9601
- **Phone:** (541) 640-7625
## 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:** Icco LLC (NPI 1063806842, Pleasant Hill, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2020
- **Other identifiers:** Medicaid 175281 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1376626655) · Data from the CMS NPPES public registry.