MRS. RATI JESSICA BAL AGNP-C
NPI 1124788658
Nurse Practitioner in Center Valley, PA

Active since December 24, 2021PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
5445 LANARK RD STE 300, CENTER VALLEY, PA 18034(484) 526-7300 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Dec 26, 2021 (2 updates tracked since 2021).

About Mrs. Rati Jessica Bal Agnp-c NPPES

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

MRS. RATI JESSICA BAL AGNP-C (NPI 1124788658) is an individual nurse practitioner in Center Valley, Pennsylvania, licensed in Pennsylvania (SP024750) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124788658
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. RATI JESSICA BALCredential: AGNP-C
Location Address5445 LANARK RD STE 300Center Valley, PA 18034-8694
Mailing Address5445 Lanark Rd Ste 300Center Valley, PA 18034-8694
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 24, 2021
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1124788658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP024750
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5445 LANARK RD STE 300, Center Valley, PA 18034

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

Mrs. Rati Jessica Bal Agnp-c 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 ID6002201274
PECOS Enrollment IDI20220325000349
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.
299 services226 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
124 services91 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
53 services46 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18034 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers18 claims18 services$183.93 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 6

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

Nurse Practitioner (Family)
5445 LANARK RD STE 300
CENTER VALLEY, PA 18034
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5445 LANARK RD STE 300
CENTER VALLEY, PA 18034
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5445 LANARK RD STE 300
CENTER VALLEY, PA 18034
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5445 LANARK RD STE 300
CENTER VALLEY, PA 18034
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5445 LANARK RD STE 300
CENTER VALLEY, PA 18034
Pediatrics (Pediatric Endocrinology)
5445 LANARK RD STE 300
CENTER VALLEY, PA 18034

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 Rati Bal's NPI number?

The NPI number for Rati Bal is 1124788658. It was assigned to this individual provider in the NPPES registry on December 24, 2021.

Where is Rati Bal located?

Rati Bal practices at 5445 Lanark Rd Ste 300, Center Valley, PA 18034. The listed phone number is (484) 526-7300.

What is Rati Bal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rati Bal enrolled in Medicare?

Yes. Rati Bal 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 Rati Bal affiliated with any hospitals?

According to CMS data, Rati Bal is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem and Grand View Health.

When was this NPI record last updated?

The NPPES record for Rati Bal was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.