Individual provider Active NPI

Nicole Michelle Borst, D.O.

  • Rheumatology Physician
  • Ocala, FL
National Provider Identifier
1659429173
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OS14803 Issued in FL
Practice address
3210 SW 33Rd Rd Ste 102
Ocala, FL 34474-7409
Phone
(352) 237-7171
Fax
(352) 237-0893
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS14803 FL
Hospitalist Physician 208M00000X OS14803 FL
Rheumatology Physician 207RR0500X OS14803 FL Primary

Addresses

Primary practice location

3210 SW 33Rd Rd Ste 102
Ocala, FL 34474-7409

Mailing address

3210 SW 33Rd Rd Ste 102
Ocala, FL 34474-7409
Phone (352) 237-7171

Other practice location 1

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 779-6303

Other names 1

  • Nicole Dhaon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180207002760 FL Practitioner - RheumatologyPractitioner - Internal MedicinePractitioner - Hospitalist 2860707940 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Hospitalist, Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

11962 County Rd
101 Suite 104
The Villages, FL 32162-9336
Phone (352) 693-3378

2801 SE 1St Ave
Suite 204
Ocala, FL 34471-0408
Phone (352) 237-7171

8449 SW Hwy 200
Suite 141
Ocala, FL 34481-9695
Phone (352) 693-3378

Hospital & facility affiliations

  • HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS14803FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Nov 11, 2018 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Restorative Rheumatology Corp Rheumatology CurrentSince Jan 2, 2023 Accepting new patients
Pioneer Medical Group, PL Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Adventist Health System-Sunbelt Inc Internal Medicine Past Accepting new patients

Locations

2801 SE 1st Ave
Ste 204
Ocala, FL 34471
Phone (352) 237-7171

3210 SW 33rd Rd
Ste 102
Ocala, FL 34474
Phone (352) 237-7171

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

12470 Telecom Dr
Ste 100
Temple Terrace, FL 33637
Phone (813) 929-5454

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Organizations & group practices 6

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 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1659429173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 SW 33RD RD STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747409",
            "telephone_number": "352-237-7171",
            "fax_number": "888-977-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 SW 33RD RD STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747409",
            "telephone_number": "352-237-7171",
            "fax_number": "352-237-0893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13067 N Telecom Pkwy",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370926",
            "country_code": "US",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORST",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS14803",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS14803",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "OS14803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DHAON",
            "credential": "R.D., D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.