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NICOLE DANIELLE BORRENPOHL NP
NPI 1235473380
Nurse Practitioner - Psychiatric/Mental Health in Jefferson City, MO

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment
90.5/100
CMS Quality Rating
2505 MISSION DR STE 320, JEFFERSON CITY, MO 65109(573) 681-3767(573) 681-3593 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2025, Apr 15, 2024, Nov 24, 2021 (3 updates tracked since 2021).

About Nicole Danielle Borrenpohl Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE DANIELLE BORRENPOHL NP (NPI 1235473380) is an individual psychiatric/mental health provider in Jefferson City, Missouri, licensed in Missouri (2015036380) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital Jefferson City, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235473380
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE DANIELLE BORRENPOHLCredential: NP
Location Address2505 MISSION DR STE 320Jefferson City, MO 65109-9508
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Phone(573) 681-3767
Fax(573) 681-3593
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 15, 2012
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1235473380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2015036380
2505 MISSION DR STE 320, Jefferson City, MO 65109
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12701 W Edgewood Dr Ste 101Jefferson City, MO 65109-5890 · Phone (573) 634-5303 · Fax (573) 762-6888
Location 2551 Veterans United DrColumbia, MO 65201-8397 · Phone (573) 882-2511 · Fax (573) 884-4515

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Danielle Borrenpohl Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446404743
PECOS Enrollment IDI20160106002832
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Borrenpohl reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Regional Health Services
0.9 mi
Mental Health (Including Community Mental Health Center)
2701 WEST EDGEWOOD, SUITE 101
Jefferson City, MO 65109
  • Reassigned Medicare billing, Missouri enrollment
  • 54 clinicians in this Medicare group
NPI 1053368159 (573) 634-5303
The Curators Of The University Of Missouri
27 mi
Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 clinicians in this Medicare group
NPI 1235126921 (573) 882-4141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
259 services71 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services25 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
40 services18 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
23 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260011
Location2505 Mission DriveJefferson City, MO 65109 · Cole County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE A GRAHAM PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2505 MISSION DR STE 320
JEFFERSON CITY, MO 65109
Cole County (573) 681-3249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Borrenpohl's NPI number?

The NPI number for Nicole Borrenpohl is 1235473380. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Nicole Borrenpohl located?

Nicole Borrenpohl practices at 2505 Mission Dr Ste 320, Jefferson City, MO 65109. The listed phone number is (573) 681-3767.

What is Nicole Borrenpohl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Borrenpohl enrolled in Medicare?

Yes. Nicole Borrenpohl is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Borrenpohl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Borrenpohl reassigns Medicare benefits to 2 organizations: Ssm Regional Health Services (Jefferson City, MO) and The Curators Of The University Of Missouri (Columbia, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Borrenpohl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Borrenpohl accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and UnitedHealthcare list Nicole Borrenpohl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Borrenpohl affiliated with any hospitals?

According to CMS data, Nicole Borrenpohl is affiliated with Ssm Health St Mary's Hospital Jefferson City and University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Nicole Borrenpohl was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.