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MS. HALEY NICOLE BALLINGER PA-C
NPI 1093481129
Physician Assistant in Columbia Falls, MT

Active since August 18, 2021PECOS Enrolled
1850 9TH ST W, COLUMBIA FALLS, MT 59912(406) 892-3206(406) 892-2381 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 24, 2021, Aug 18, 2021 (3 updates tracked since 2021).

About Ms. Haley Nicole Ballinger Pa-c NPPES

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

MS. HALEY NICOLE BALLINGER PA-C (NPI 1093481129) is an individual physician assistant in Columbia Falls, Montana, licensed in Montana (MED-PAC-LIC-112970) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Alamosa.

NPPES Registry Identity

NPI1093481129
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. HALEY NICOLE BALLINGERCredential: PA-C
Location Address1850 9TH ST WColumbia Falls, MT 59912-4410
Mailing Address3311 Oakleigh CirMonroe, LA 71201-2862 · (318) 355-6680
Phone(406) 892-3206
Fax(406) 892-2381
Sole ProprietorNo
Enumeration DateAugust 18, 2021
Last NPPES UpdateFebruary 19, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2024
✔ NPI 1093481129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MT · MED-PAC-LIC-112970
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1850 9TH ST W, Columbia Falls, MT 59912
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Secondary Practice Location 1

Location 1106 Blanca AveAlamosa, CO 81101-2340 · Phone (719) 589-2511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Haley Nicole Ballinger Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.
199 services115 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.
22 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59912 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC BRANDEBERRY M.D.
Family Medicine
1850 9TH ST W
COLUMBIA FALLS, MT 59912
Flathead County (406) 892-3206

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 Haley Ballinger's NPI number?

The NPI number for Haley Ballinger is 1093481129. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Where is Haley Ballinger located?

Haley Ballinger practices at 1850 9th St W, Columbia Falls, MT 59912. The listed phone number is (406) 892-3206.

What is Haley Ballinger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Haley Ballinger enrolled in Medicare?

Yes. Haley Ballinger is registered in the Medicare PECOS enrollment system.

What insurance does Haley Ballinger accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Haley Ballinger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Haley Ballinger was last updated on February 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.