Boriana Rousseva Nikolova, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Ajo, Arizona. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ajo Community Health Center and her current practice location is
410 N Malacate St, Ajo, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 387-5651.
Boriana Rousseva Nikolova is licensed to practice in Arizona (license number 261942) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598432585.
Provider's Profile
| Full Name | Boriana Rousseva Nikolova |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 410 N Malacate St, Ajo, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Boriana Rousseva Nikolova graduated from nursing school in 2021
NPI Data:
- NPI Number: 1598432585
- Provider Enumeration Date: 08/26/2021
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678961281
- Enrollment ID: I20231026004149
Medical Identifiers
Medical identifiers for Boriana Rousseva Nikolova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598432585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 261942 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ajo Community Health Center | 3476441866 | 11 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Boriana Rousseva Nikolova allows following entities to bill medicare on her behalf.
| Entity Name | Ajo Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114037496
PECOS PAC ID: 3476441866
Enrollment ID: O20040308000777 |
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| Entity Name | Canyon Family Medicine Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780349902
PECOS PAC ID: 0547650350
Enrollment ID: O20211210001046 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Boriana Rousseva Nikolova is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Boriana Rousseva Nikolova, FNP-BC
410 N Malacate St,
Ajo, AZ 85321-2254
Ph: (520) 387-5651 | Boriana Rousseva Nikolova, FNP-BC
410 N Malacate St,
Ajo, AZ 85321-2253
Ph: (520) 387-5651 |
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