GRACE GLENDA BALDERAS A.P.R.N. B.C.
NPI 1134109366
Nurse Practitioner in San Antonio, TX
About Grace Glenda Balderas A.p.r.n. B.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE GLENDA BALDERAS A.P.R.N. B.C. (NPI 1134109366) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (AP114274) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted 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
Grace Glenda Balderas A.p.r.n. B.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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Hospital
Acute Care Hospitals · San Antonio, TXMethodist Hospital Stone Oak
Acute Care Hospitals · San Antonio, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANTONIO, TX 78201
SAN ANTONIO, TX 78201
SAN ANTONIO, TX 78201
SAN ANTONIO, TX 78201
SAN ANTONIO, TX 78201
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 Grace Balderas's NPI number?
The NPI number for Grace Balderas is 1134109366. It was assigned to this individual provider in the NPPES registry on January 23, 2006.
Where is Grace Balderas located?
Grace Balderas practices at 6800 W Ih 10 Suite 350, San Antonio, TX 78201. The listed phone number is (210) 692-1414.
What is Grace Balderas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Grace Balderas enrolled in Medicare?
Yes. Grace Balderas 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.
What insurance does Grace Balderas accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Grace Balderas 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.
Is Grace Balderas affiliated with any hospitals?
According to CMS data, Grace Balderas is affiliated with Methodist Hospital and Methodist Hospital Stone Oak.
When was this NPI record last updated?
The NPPES record for Grace Balderas was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
