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MICHELLE LEE BALLOU
NPI 1023853603
Nurse Practitioner - Family in Keller, TX

Active since June 26, 2024
1200 KELLER PKWY STE 100, KELLER, TX 76248(817) 741-8011 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Jun 26, 2024 (2 updates tracked since 2024).

About Michelle Lee Ballou NPPES

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

MICHELLE LEE BALLOU (NPI 1023853603) is an individual family provider in Keller, Texas, licensed in Texas (1139715) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1023853603
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE LEE BALLOU
Location Address1200 KELLER PKWY STE 100Keller, TX 76248-3800
Mailing Address2240 Becton Way Apt 4206Fort Worth, TX 76177-3067 · (913) 636-5813
Phone(817) 741-8011
Sole ProprietorNo
Enumeration DateJune 26, 2024
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1023853603 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
Licenses✔ Licensed in TX · 1139715✔ Licensed in KS · 53-83316-091
1200 KELLER PKWY STE 100, Keller, TX 76248
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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 Michelle Ballou's NPI number?

The NPI number for Michelle Ballou is 1023853603. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Michelle Ballou located?

Michelle Ballou practices at 1200 Keller Pkwy Ste 100, Keller, TX 76248. The listed phone number is (817) 741-8011.

What is Michelle Ballou's specialty?

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

When was this NPI record last updated?

The NPPES record for Michelle Ballou was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.