JENNIFER LYNN BALSAMELLO NP
NPI 1104494558
Nurse Practitioner - Family in Indianapolis, IN

Q: What is Jennifer Balsamello's NPI number?

The NPI number for Jennifer Balsamello is 1104494558. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Q: What is Jennifer Balsamello's specialty?

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

Active since June 14, 2021PECOS EnrolledAccepts Medicare Assignment

720 ESKENAZI AVE, INDIANAPOLIS, IN 46202(317) 880-6560(317) 880-0333 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2025, Jun 9, 2023, Nov 18, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Jennifer Lynn Balsamello Np NPPES

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

JENNIFER LYNN BALSAMELLO NP (NPI 1104494558) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71011183A) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension Sacred Heart Gulf, and maintains a secondary practice location in Martinsville.

NPPES Registry Identity

NPI1104494558

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER LYNN BALSAMELLOCredential: NP

Location Address720 ESKENAZI AVEIndianapolis, IN 46202-5187

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 880-6560

Fax(317) 880-0333

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2020

Enumeration DateJune 14, 2021

Last NPPES UpdateJanuary 31, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2025

✔ NPI 1104494558 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 IN · 71011183A

720 ESKENAZI AVE, Indianapolis, IN 46202

Open in Google Maps ↗

Secondary Practice Location 1

Location 12209 John R Wooden DrMartinsville, IN 46151-1840 · Phone (765) 349-6558 · Fax (765) 349-8413

Other Identifiers 1

Other71011183AIN · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Jennifer Lynn Balsamello Np 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 ID9436551041

PECOS Enrollment IDI20210706000433, I20251223003642

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 7

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 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.

206 services202 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

50 services50 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

31 services31 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

28 services28 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

24 services24 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

22 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Sacred Heart Gulf

Acute Care Hospitals · Port Saint Joe, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100313

Location3801 E Hwy 98Port Saint Joe, FL 32456 · Gulf County

Emergency services

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 2

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

Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress E0294

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$52.85 avg. paid by Medicare

Bed side rails, half length E0305

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$8.53 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.

MRS. ALEXIS A DAVIS LCSW

Marriage & Family Therapist