ELLEN MARIE BOERSMA (NP) – Nurse Practitioner, NPI 1265684633
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for ELLEN MARIE BOERSMA (NP)
5150 HILL RD E
#F
LAKEPORT, CA 954535101
Phone: (707) 262-3060
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 96 Open Payments records for all available years, with a total value of $2,371.
Total Amount is formed as General ($2,371) + Research ($0) + Ownership ($0) = $2,371.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($381).
Total Amount
$2,371
General + Research + Ownership
Payments
96
Total payment records
General Amount
$2,371
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $381 |
| Daiichi Sankyo Inc. | $278 |
| Astellas Pharma US Inc | $234 |
| Janssen Biotech, Inc. | $210 |
| Genentech USA, Inc. | $100 |
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: 2008-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20081209000198 | I | Nurse Practitioner | CA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 5,141 | 15 | $0 |
| J0897 | Injection, denosumab, 1 mg | 3,540 | 35 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 241 | 148 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 239 | 151 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 164 | 127 | $0 |
Insurance plans in this area (ZIP 95453)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Nurse Practitioner | CA | |
| Cardiovascular Disease (Cardiology), Nuclear Medicine, Internal Medicine | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | OK | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Nurse Practitioner | CA |
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