Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Jean Rodriguez-Borasz, CNP

Individual provider Family Nurse Practitioner · NPI 1952848335

Nicole Jean Rodriguez-Borasz, CNP is a Nurse Practitioner in Beavercreek, Ohio. Qualified in 2016, 10 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2017
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

3535 Pentagon Blvd Ste 320
Beavercreek, OH 45431-1705
Phone: (937) 294-1489
Fax: (937) 294-7999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.020229 (OH)

Record details

NPI number1952848335
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJanuary 24, 2017
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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