Individual provider Active NPI

Morgan Borine, MA, MS, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbury, MN
National Provider Identifier
1043867534
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6842 Issued in MN
Practice address
576 Bielenberg Dr Ste 180
Woodbury, MN 55125-1736
Phone
(612) 225-4141
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6842 MN Primary

Addresses

Primary practice location

576 Bielenberg Dr Ste 180
Woodbury, MN 55125-1736

Mailing address

576 Bielenberg Dr Ste 180
Woodbury, MN 55125-1736
Phone (612) 225-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309001641 WI Practitioner - Nurse Practitioner 6800202243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
6842MNMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Memorial Hospital Incorporated CurrentSince Feb 1, 2021 Accepting new patients
Rogers Memorial Hospital Incorporated PastSince Aug 25, 2019 Accepting new patients
Rogers Behavioral Health - Wisconsin SC Psychiatric/Mental Health Past Accepting new patients

Locations

576 Bielenberg Dr
Ste 180
Woodbury, MN 55125
Phone (612) 225-4141

5 Innovation Ct
Ste 100
Appleton, WI 54914

4351 W College Ave
Ste 300
Appleton, WI 54914
Phone (844) 258-1072

9916 75th St
Kenosha, WI 53142
Phone (262) 697-3800

406 Science Dr
Ste 110
Madison, WI 53711
Phone (608) 238-4411

34700 Valley Rd
Oconomowoc, WI 53066

11101 W Lincoln Ave
West Allis, WI 53227
Phone (414) 203-4500

2424 S 102nd St
West Allis, WI 53227
Phone (414) 373-7474

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1043867534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BIELENBERG DR STE 180",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251736",
            "telephone_number": "612-225-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 BIELENBERG DR STE 180",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251736",
            "telephone_number": "612-225-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORINE",
        "first_name": "MORGAN",
        "credential": "MA, MS, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "6842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.