DR. VANESSA BOERHAVE PSY.D., LP
NPI 1639680473
Psychologist - Clinical in Cottage Grove, MN

Active since October 19, 2017PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
8611 W POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016(651) 458-1884 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2021, Sep 5, 2018, Oct 19, 2017 (3 updates tracked since 2017).

About Dr. Vanessa Boerhave Psy.d., Lp NPPES

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

DR. VANESSA BOERHAVE PSY.D., LP (NPI 1639680473) is an individual clinical provider in Cottage Grove, Minnesota, licensed in Minnesota (LP6167) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639680473
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. VANESSA BOERHAVECredential: PSY.D., LP
Location Address8611 W POINT DOUGLAS RD SCottage Grove, MN 55016
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 19, 2017
Last NPPES UpdateMarch 11, 20213 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1639680473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MN · LP6167
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
8611 W POINT DOUGLAS RD S, Cottage Grove, MN 55016

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Vanessa Boerhave Psy.d., Lp 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 ID7618234675
PECOS Enrollment IDI20171129000711
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55016 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 20

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

Physician Assistant
8611 W POINT DOUGLAS RD S
COTTAGE GROVE, MN 55016
Dietitian, Registered
8611 W POINT DOUGLAS RD S
COTTAGE GROVE, MN 55016
Family Medicine
8611 W POINT DOUGLAS RD S
COTTAGE GROVE, MN 55016
Optometrist
8611 W POINT DOUGLAS RD S
COTTAGE GROVE, MN 55016
Pediatrics
8611 W POINT DOUGLAS RD S
COTTAGE GROVE, MN 55016
Pharmacist
8611 W POINT DOUGLAS RD S
COTTAGE GROVE, MN 55016
Nurse Practitioner
8611 W POINT DOUGLAS RD S
COTTAGE GROVE, MN 55016
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
8611 W POINT DOUGLAS RD S
COTTAGE GROVE, MN 55016

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 Vanessa Boerhave's NPI number?

The NPI number for Vanessa Boerhave is 1639680473. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Where is Vanessa Boerhave located?

Vanessa Boerhave practices at 8611 W Point Douglas Rd S, Cottage Grove, MN 55016. The listed phone number is (651) 458-1884.

What is Vanessa Boerhave's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Vanessa Boerhave enrolled in Medicare?

Yes. Vanessa Boerhave 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.

When was this NPI record last updated?

The NPPES record for Vanessa Boerhave was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.