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MRS. THERESA RAE BORCHERDING ARNP
NPI 1346609559
Nurse Practitioner in Waterloo, IA

Active since February 16, 2016PECOS EnrolledAccepts Medicare Assignment
1753 W RIDGEWAY AVE STE 104, WATERLOO, IA 50701(319) 833-6100(319) 833-6102 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2022, Jul 6, 2020, Feb 16, 2016 (3 updates tracked since 2016).

About Mrs. Theresa Rae Borcherding Arnp NPPES

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

MRS. THERESA RAE BORCHERDING ARNP (NPI 1346609559) is an individual nurse practitioner in Waterloo, Iowa, licensed in Iowa (A098415) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and maintains a secondary practice location in Reinbeck.

NPPES Registry Identity

NPI1346609559
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. THERESA RAE BORCHERDINGCredential: ARNP
Location Address1753 W RIDGEWAY AVE STE 104Waterloo, IA 50701-4588
Mailing AddressPo Box 2758Waterloo, IA 50704-2758 · (319) 235-5390 · Fax (319) 233-1630
Phone(319) 833-6100
Fax(319) 833-6102
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 16, 2016
Last NPPES UpdateFebruary 4, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
✔ NPI 1346609559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · A098415
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License A098415 (IA)
1753 W RIDGEWAY AVE STE 104, Waterloo, IA 50701
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Secondary Practice Location 1

Location 1501 Main StReinbeck, IA 50669-1023 · Phone (319) 345-6461 · Fax (319) 345-2449

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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

Mrs. Theresa Rae Borcherding Arnp 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 ID2062718216
PECOS Enrollment IDI20160314002526
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 Reassignment

Medicare enrollment records show Theresa Borcherding reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peoples Community Health Clinic, Inc
1.9 mi
Federally Qualified Health Center (FQHC)
425 1/2 EAST RIDGEWAY AVE.
Waterloo, IA 50702
  • Reassigned Medicare billing, Iowa enrollment
  • 46 clinicians in this Medicare group
NPI 1629684709 (319) 433-2780

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 3

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 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.
329 services316 patients
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.
132 services124 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Grundy County Memorial Hospital

Critical Access Hospitals · Grundy Center, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161303
Location201 East J AvenueGrundy Center, IA 50638 · Grundy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50701 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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 Theresa Borcherding's NPI number?

The NPI number for Theresa Borcherding is 1346609559. It was assigned to this individual provider in the NPPES registry on February 16, 2016.

Where is Theresa Borcherding located?

Theresa Borcherding practices at 1753 W Ridgeway Ave Ste 104, Waterloo, IA 50701. The listed phone number is (319) 833-6100.

What is Theresa Borcherding's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Theresa Borcherding enrolled in Medicare?

Yes. Theresa Borcherding 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 organization bills Medicare for Theresa Borcherding's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Borcherding reassigns Medicare benefits to Peoples Community Health Clinic, Inc (Waterloo, IA). The 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 Theresa Borcherding's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Borcherding accept?

Health plans from Oscar Health, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Theresa Borcherding 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 Theresa Borcherding affiliated with any hospitals?

According to CMS data, Theresa Borcherding is affiliated with Allen Hospital and Grundy County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Borcherding was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.