MARY L BORGSTADT ARNP
NPI 1407828569
Nurse Practitioner - Family in Auburn, WA

Active since February 03, 2006PECOS Enrolled
735 12TH ST SE, AUBURN, WA 98002(253) 876-7990 Get Directions Write a Review

NPPES record last updated: May 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary L Borgstadt Arnp NPPES

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

MARY L BORGSTADT ARNP (NPI 1407828569) is an individual family provider in Auburn, Washington, licensed in Washington (AP30006913) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407828569
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY L BORGSTADTCredential: ARNP
Location Address735 12TH ST SEAuburn, WA 98002-6709
Mailing Address735 12th St SeAuburn, WA 98002-6709 · (253) 876-7990
Sole ProprietorNo
Enumeration DateFebruary 3, 2006
Last NPPES UpdateMay 6, 2016
✔ NPI 1407828569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP30006913
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License RN00157592 (WA)
735 12TH ST SE, Auburn, WA 98002

Other Identifiers 4

Medicaid9645029WA
Medicare UPINP28653
Other7235BOWA · Individual Blue Shied
OtherP0026399WA · Rail Road Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary L Borgstadt Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Mary Borgstadt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
609 GARFIELD AVE
Murdo, SD 57559
  • Reassigned Medicare billing, South Dakota enrollment
  • 111 clinicians in this Medicare group
Multi-Specialty
100 MAC LN
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
410 N VALLEY VIEW RD
Sioux Falls, SD 57107
  • Reassigned Medicare billing, South Dakota enrollment
  • 41 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 98002 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
735 12TH ST SE
AUBURN, WA 98002
Family Medicine
735 12TH ST SE
AUBURN, WA 98002
Family Medicine
735 12TH ST SE
AUBURN, WA 98002
Family Medicine
735 12TH ST SE
AUBURN, WA 98002

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 Mary Borgstadt's NPI number?

The NPI number for Mary Borgstadt is 1407828569. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Mary Borgstadt located?

Mary Borgstadt practices at 735 12th St SE, Auburn, WA 98002. The listed phone number is (253) 876-7990.

What is Mary Borgstadt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Borgstadt enrolled in Medicare?

Yes. Mary Borgstadt is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Borgstadt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Borgstadt reassigns Medicare benefits to 3 organizations: Rural Health Care, Inc. (Murdo, SD), Avera Mckennan (Pierre, SD) and City Of Sioux Falls (Sioux Falls, SD). 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 Mary Borgstadt'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 Mary Borgstadt was last updated on May 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.