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BORIANA ROUSSEVA NIKOLOVA FNP-BC
NPI 1598432585
Nurse Practitioner - Family in Ajo, AZ

Active since August 26, 2021PECOS EnrolledAccepts Medicare Assignment
86.99/100
CMS Quality Rating
410 N MALACATE ST, AJO, AZ 85321(520) 387-5651 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 18, 2024, May 16, 2024, Aug 28, 2021 (3 updates tracked since 2021).

About Boriana Rousseva Nikolova Fnp-bc NPPES

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

BORIANA ROUSSEVA NIKOLOVA FNP-BC (NPI 1598432585) is an individual family provider in Ajo, Arizona, licensed in Arizona (261942) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mesa, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1598432585
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBORIANA ROUSSEVA NIKOLOVACredential: FNP-BC
Location Address410 N MALACATE STAjo, AZ 85321-2253
Mailing Address410 N Malacate StAjo, AZ 85321-2254 · (520) 387-5651 · Fax (520) 387-6036
Phone(520) 387-5651
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 26, 2021
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1598432585 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 AZ · 261942
410 N MALACATE ST, Ajo, AZ 85321
Open in Google Maps ↗

Secondary Practice Location 1

Location 16242 E Arbor Ave Ste 118Mesa, AZ 85206-1309 · Phone (602) 805-4914 · Fax (602) 805-4917

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.Insurance ›

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

Boriana Rousseva Nikolova Fnp-bc 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 ID3678961281
PECOS Enrollment IDI20231026004149
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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
22 services13 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
14 services13 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85321 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

86.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.35
Promoting Interoperability88
Improvement Activities40
Cost53.95

Other Providers at the Same Location NPPES 19

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

ELLEN MARIE PRITCHETT RD
Dietitian, Registered
410 N MALACATE ST
AJO, AZ 85321
Pima County (520) 387-5651
JEFFREY R LAVOY M.D.
Family Medicine
410 N MALACATE ST
AJO, AZ 85321
Pima County (520) 387-5651
DESERT SENITA COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
410 N MALACATE ST
AJO, AZ 85321
Pima County (520) 387-5651
MS. CATRINA YVETTE PRATHER
Nurse Practitioner (Family)
410 N MALACATE ST
AJO, AZ 85321
Pima County (520) 387-5287
DONALD T INNES P.A.
Physician Assistant
410 N MALACATE ST
AJO, AZ 85321
Pima County (520) 387-5651
DESERT SENITA COMMUNITY HEALTH CENTER
Pharmacy (Community/Retail Pharmacy)
410 N MALACATE ST
AJO, AZ 85321
Pima County (520) 387-5500
LINDA LUCILE VOLIN RPH
Pharmacist
410 N MALACATE ST
AJO, AZ 85321
Pima County (520) 387-4249
MS. MARY CATHERINE KEHL PA C
Physician Assistant
410 N MALACATE ST
AJO, AZ 85321
Pima County (520) 387-5651

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 Boriana Nikolova's NPI number?

The NPI number for Boriana Nikolova is 1598432585. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Boriana Nikolova located?

Boriana Nikolova practices at 410 N Malacate St, Ajo, AZ 85321. The listed phone number is (520) 387-5651.

What is Boriana Nikolova's specialty?

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

Is Boriana Nikolova enrolled in Medicare?

Yes. Boriana Nikolova 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.

What insurance does Boriana Nikolova accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Boriana Nikolova 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 Boriana Nikolova was last updated on September 18, 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.