Active NPI
Susan M Hellerude-Borchardt, APNP
- Family Nurse Practitioner
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95002035
- Practice address
- 1 California St Ste 2300
San Francisco, CA 94111-5424 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Dec 15, 2010
- Last updated
- Mar 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60769921 | WA | |
| Family Nurse Practitioner | 363LF0000X | 47311 | WY | |
| Family Nurse Practitioner | 363LF0000X | TPAN226 | FL | |
| Family Nurse Practitioner | 363LF0000X | 8289 | MN | |
| Family Nurse Practitioner | 363LF0000X | 4283-33 | WI | |
| Family Nurse Practitioner | 363LF0000X | 61849 | NM | |
| Family Nurse Practitioner | 363LF0000X | APRN02750 | RI | |
| Family Nurse Practitioner | 363LF0000X | A129600 | IA | |
| Family Nurse Practitioner | 363LF0000X | R50849 | ND | |
| Family Nurse Practitioner | 363LF0000X | RN1036099 | DC | |
| Family Nurse Practitioner | 363LF0000X | C-APN.0002447-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 1051889 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP7561 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 084276-23 | NH | |
| Family Nurse Practitioner | 363LF0000X | 95002035 | CA | Primary |
Addresses
Primary practice location
1 California St Ste 2300
San Francisco, CA 94111-5424
Mailing address
1 California St Ste 2300
San Francisco, CA 94111-5424
Phone (800) 997-6196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4283-33 | Other | WI | STATE LICENSE # |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP7561 | AZ | MD | Family Nurse Practitioner |
| C-APN.0002447-C-NP | CO | MD | Family Nurse Practitioner |
| RN1036099 | DC | MD | Family Nurse Practitioner |
| TPAN226 | FL | MD | Family Nurse Practitioner |
| A129600 | IA | MD | Family Nurse Practitioner |
| 8289 | MN | MD | Family Nurse Practitioner |
| R50849 | ND | MD | Family Nurse Practitioner |
| 084276-23 | NH | MD | Family Nurse Practitioner |
| 61849 | NM | MD | Family Nurse Practitioner |
| APRN02750 | RI | MD | Family Nurse Practitioner |
| 1051889 | TX | MD | Family Nurse Practitioner |
| AP60769921 | WA | MD | Family Nurse Practitioner |
| 4283-33 | WI | MD | Family Nurse Practitioner |
| 47311 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph's Health Services, Inc. | Current | Accepting new patients | |
| Doctor on Demand Professionals P C | Current | Accepting new patients | |
| St. Joseph's Health Services, Inc. | Current | Accepting new patients |
Locations
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
801 Adlai Stevenson Dr
Springfield, IL 62703
Phone 4153603833 ext. 03833
8040 Excelsior Dr
Ste 400
Madison, WI 53717
Phone (415) 360-3083
Interoperability endpoints
- shellerudeborchardt55357@direct.gundersenhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Hillsboro, WI
- NPI 1104031798
-
- Clinic/Center
- Elroy, WI
- NPI 1699788273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1467755363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CALIFORNIA ST STE 2300",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941115424",
"telephone_number": "800-997-6196",
"fax_number": "415-504-1367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CALIFORNIA ST STE 2300",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941115424",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLERUDE-BORCHARDT",
"first_name": "SUSAN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-15",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60769921",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "47311",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "TPAN226",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "8289",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "4283-33",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "61849",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN02750",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A129600",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "R50849",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN1036099",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN.0002447-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1051889",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP7561",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "084276-23",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95002035",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "4283-33",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.