Individual provider Active NPI

Nicole Danielle Borrenpohl, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jefferson City, MO
National Provider Identifier
1235473380
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2015036380 Issued in MO
Practice address
2505 Mission Dr Ste 320
Jefferson City, MO 65109-9508
Phone
(573) 681-3767
Fax
(573) 681-3593
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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 2015036380 MO Primary

Addresses

Primary practice location

2505 Mission Dr Ste 320
Jefferson City, MO 65109-9508

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Other practice location 1

2701 W Edgewood Dr Ste 101
Jefferson City, MO 65109-5890
Phone (573) 634-5303

Other practice location 2

551 Veterans United Dr
Columbia, MO 65201-8397
Phone (573) 882-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160106002832 MO Practitioner - Nurse Practitioner 0446404743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SSM Regional Health ServicesGroup PAC ID 8921917352, 165 clinicians

Practice addresses (Care Compare)

2701 W Edgewood Dr
101 SSM Health Medical Group Behaviora
Jefferson City, MO 65109-5890
Phone (573) 634-5303

3 Hospital Dr
Columbia, MO 65201-5276
Phone (573) 884-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
86.39
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015036380MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curators of the University of Missouri CurrentSince Dec 5, 2025 Accepting new patients
The Curators of the University of Missouri CurrentSince Dec 5, 2025 Accepting new patients
SSM Regional Health Services CurrentSince Aug 1, 2023 Accepting new patients
Onepeak Southern Oregon PC CurrentSince Jan 1, 2023 Accepting new patients
SSM Regional Health Services CurrentSince Aug 1, 2023 Accepting new patients

Locations

7655 Solutions Ctr
Chicago, IL 60677

3 Hospital Dr
Columbia, MO 65201
Phone (573) 882-8913

551 Veterans United Dr
Columbia, MO 65201
Phone (573) 882-4730

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

2701 W Edgewood Dr
Ste 101
Jefferson Cty, MO 65109
Phone (573) 634-5303

1432 Southwest Blvd
Jefferson Cty, MO 65109
Phone (573) 632-5560

901 Kidwell Dr
Versailles, MO 65084
Phone (573) 378-4666

1325 NE 7th St
Grants Pass, OR 97526
Phone (541) 460-5331

3265 Hillcrest Park Dr
Medford, OR 97504
Phone (541) 275-6655

Interoperability endpoints

  • Direct secure messaging: nborrenpohl454441@direct-ehr-ssmhc.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1235473380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 MISSION DR STE 320",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651099508",
            "telephone_number": "573-681-3767",
            "fax_number": "573-681-3593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 W Edgewood Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651095890",
            "country_code": "US",
            "telephone_number": "573-634-5303",
            "fax_number": "573-762-6888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 Veterans United Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652018397",
            "country_code": "US",
            "telephone_number": "573-882-2511",
            "fax_number": "573-884-4515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORRENPOHL",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2015036380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.