Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NORA E. BALON FNP-BC
NPI 1023599727
Nurse Practitioner - Family in West Amherst, NY

Active since August 22, 2018PECOS EnrolledAccepts Medicare Assignment
3950 E ROBINSON RD STE 207, WEST AMHERST, NY 14228(716) 564-1111 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 10, 2026, Dec 20, 2024, Aug 22, 2018 (3 updates tracked since 2018).

About Nora E. Balon Fnp-bc NPPES

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

NORA E. BALON FNP-BC (NPI 1023599727) is an individual family provider in West Amherst, New York, licensed in New York (343539) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Kenmore Mercy Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023599727
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNORA E. BALONCredential: FNP-BC
Location Address3950 E ROBINSON RD STE 207West Amherst, NY 14228-2044
Mailing Address6255 Sheridan Dr Ste 200Williamsville, NY 14221-8096 · (716) 564-1111
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 22, 2018
Last NPPES UpdateSeptember 10, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1023599727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 343539
3950 E ROBINSON RD STE 207, West Amherst, NY 14228

Other Identifiers 1

Medicaid05395611NY

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

Nora E. Balon Fnp-bc 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 ID9133471535
PECOS Enrollment IDI20181012001947
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services16 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14228 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims24 services$14.84 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers34 claims35 services$3.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers29 claims34 services$62.52 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
8 suppliers16 claims3,300 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
9 suppliers19 claims19 services$21.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Adult Health)
3950 E ROBINSON RD STE 207
WEST AMHERST, NY 14228
Physician Assistant (Medical)
3950 E ROBINSON RD STE 207
WEST AMHERST, NY 14228
Nurse Practitioner (Community Health)
3950 E ROBINSON RD STE 207
WEST AMHERST, NY 14228
Physician Assistant
3950 E ROBINSON RD STE 207
WEST AMHERST, NY 14228
Physician Assistant
3950 E ROBINSON RD STE 207
WEST AMHERST, NY 14228
Nurse Practitioner (Family)
3950 E ROBINSON RD STE 207
WEST AMHERST, NY 14228
Physician Assistant
3950 E ROBINSON RD STE 207
WEST AMHERST, NY 14228
Nurse Practitioner (Family)
3950 E ROBINSON RD STE 207
WEST AMHERST, NY 14228

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 Nora Balon's NPI number?

The NPI number for Nora Balon is 1023599727. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Where is Nora Balon located?

Nora Balon practices at 3950 E Robinson Rd Ste 207, West Amherst, NY 14228. The listed phone number is (716) 564-1111.

What is Nora Balon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nora Balon enrolled in Medicare?

Yes. Nora Balon 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.

Is Nora Balon affiliated with any hospitals?

According to CMS data, Nora Balon is affiliated with Kenmore Mercy Hospital and Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for Nora Balon was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.