FAKIRA SOUMAILA-BORKOVEC (FNP-C) – Family Nurse Practitioner, NPI 1144879222
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
761 NURSE PRACTITIONER in AK
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Provider Addresses for FAKIRA SOUMAILA-BORKOVEC (FNP-C)
PO BOX 56954
NORTH POLE, AK 99705
Phone: (907) 888-2293
Type: Mailing
1919, Lathrop Street, South Fairbanks, Fairbanks, Fairbanks North Star, Alaska, 99701, United States
SUITE 222
FAIRBANKS AK, AK 99701
Phone: (907) 456-8191
Type: Location
1575 WASHINGTON ST
WATERTOWN, NY 136019371
Phone: (315) 785-4155
Fax: (315) 779-5066
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200220002765 | I | Nurse Practitioner | AK | TBD |
| I20241107000839 | I | Nurse Practitioner | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99705)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| U R O L O G Y | NY | |
| Registered Dietitian Or Nutrition Professional | NY | |
| Family Practice | NY | |
| U R O L O G Y | NY | |
| Physician Assistant | NY | |
| Cardiovascular Disease (Cardiology) | NY | |
| Nurse Practitioner | NY | |
| - | NY | |
| - | VT |
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