MRS. SUSAN M BORDONARO (DCNP) – Nurse Practitioner, NPI 1366547358
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,473 NURSE PRACTITIONER in RI
Provider Addresses for MRS. SUSAN M BORDONARO (DCNP)
851 Main St
Warren, RI 028854402
Phone: (401) 239-1800
Fax: (401) 239-1801
Type: Location
1524 Atwood Ave Ste 321
Johnston, RI 029193228
Phone: (401) 239-1800
Fax: (401) 239-1801
Type: Location
618 Toll Gate Rd
Warwick, RI 028862717
Phone: (401) 239-1800
Fax: (401) 239-1801
Type: Location
67 William S Canning Blvd
Tiverton, RI 028783003
Phone: (401) 239-1800
Fax: (401) 239-1801
Type: Location
1525 Wampanoag Trl Ste 203
Riverside, RI 029151038
Phone: (401) 239-1800
Fax: (401) 239-1801
Type: Location
102, Valley Road, Wawa, Middletown Township, Delaware County, Pennsylvania, 19063, United States
MIDDLETOWN, RI 028425237
Phone: (401) 239-1800
Fax: (401) 239-1801
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 73 Open Payments records for all available years, with a total value of $1,846.
Total Amount is formed as General ($1,846) + Research ($0) + Ownership ($0) = $1,846.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($496).
Total Amount
$1,846
General + Research + Ownership
Payments
73
Total payment records
General Amount
$1,846
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 |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $496 |
| ABBVIE INC. | $414 |
| Arcutis Biotherapeutics, Inc. | $247 |
| Incyte Corporation | $170 |
| UCB, Inc. | $154 |
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: 2022-08-12
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 |
|---|---|---|---|---|
| I20050520000924 | I | Nurse Practitioner | RI | TBD |
| I20220812000220 | I | Nurse Practitioner | MA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 525 | 104 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 361 | 266 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 214 | 155 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 158 | 117 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 116 | 106 | $0 |
Insurance plans in this area (ZIP 02885)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Physician Assistant | RI | |
| D E R M A T O L O G Y | MA | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | NY | |
| Physician Assistant | RI | |
| Nurse Practitioner | RI | |
| D E R M A T O L O G Y | MA | |
| Nurse Practitioner | MA |
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