MS. SUSAN ELAINE BORREGARD (P.A.) – Surgical Physician Assistant, NPI 1184624801

MS. SUSAN ELAINE BORREGARD (P.A.) is a healthcare provider. based in Mishawaka, Indiana. specializing in Surgical Physician Assistant. They hold the professional credentials P.A.. They hold a License No. 10000623A (IN). The NPI Number for MS. SUSAN ELAINE BORREGARD (P.A.) is 1184624801

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
MS. SUSAN ELAINE BORREGARD (P.A.)
NPI
1184624801
Phone
(574) 335-6700
Address
611 E Douglas Rd
Enumeration Date
22 July 2005
Last Update Date
19 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7657473111
Graduation Year
1989 (37 years ago)
PAC ID
9830116920
Group Practice PAC ID
9537072640
Professional Enrollment ID
I20051027001080

Contacts

Secure Messaging
sborregard@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

Provider Addresses for MS. SUSAN ELAINE BORREGARD (P.A.)

  • 611 E Douglas Rd

    Suite 402

    Mishawaka, IN 465451464

    Phone: (574) 335-6700

    Fax: (574) 335-0726

    Type: Location

  • 1200, West White River Boulevard, Muncie, Delaware County, Indiana, 47303, United States

    RCS PROVIDER ENROLLMENT

    MUNCIE, IN 473034988

    Phone: (765) 254-4009

    Type: Mailing

  • 2525, West University Avenue, Muncie, Delaware County, Indiana, 47303, United States

    MUNCIE, IN 473033421

    Phone: (765) 289-5420

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $1,363.

Total Amount is formed as General ($1,363) + Research ($0) + Ownership ($0) = $1,363.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,218).

Total Amount

$1,363

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,363

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-10-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051027001080IPhysician AssistantINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2512$0
View full utilization report →

Insurance plans in this area (ZIP 46545)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537072640View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nephrology, Internal MedicineIN
General SurgeryMI
-OH
Family PracticeIN
H E M A T O L O G Y/ O N C O L O G YNC
Infectious Disease, Internal MedicineNJ
Cardiovascular Disease (Cardiology), Internal MedicineIN
Clinical Social WorkerIN
-IN

Reviews

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Frequently asked questions

What is MS. SUSAN ELAINE BORREGARD (P.A.)'s NPI number?
MS. SUSAN ELAINE BORREGARD (P.A.)'s NPI is 1184624801 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MS. SUSAN ELAINE BORREGARD (P.A.)?
You should see MS. SUSAN ELAINE BORREGARD (P.A.) as active in CMS-hosted NPPES data.
What clinical focus is listed for MS. SUSAN ELAINE BORREGARD (P.A.)?
At a glance, MS. SUSAN ELAINE BORREGARD (P.A.) is tied to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Indiana is MS. SUSAN ELAINE BORREGARD (P.A.) registered?
Use Mishawaka, Indiana as the headline location for MS. SUSAN ELAINE BORREGARD (P.A.) here.
Can I trust this NPI listing for MS. SUSAN ELAINE BORREGARD (P.A.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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