NANCY BALKON PHD, NP, FAANP
NPI 1144547522
Nurse Practitioner in Smithtown, NY

Q: What is Nancy Balkon's NPI number?

The NPI number for Nancy Balkon is 1144547522. It was assigned to this individual provider in the NPPES registry on April 26, 2010.

Q: What is Nancy Balkon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nancy Balkon was last updated on February 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 26, 2010PECOS Enrolled

98.52/100

CMS Quality Rating

267 E MAIN ST BLDG C, SMITHTOWN, NY 11787(631) 418-8069(631) 656-0470 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nancy Balkon Phd, Np, Faanp NPPES

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

NANCY BALKON PHD, NP, FAANP (NPI 1144547522) is an individual nurse practitioner in Smithtown, New York, licensed in New York (300564) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144547522

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNANCY BALKONCredential: PHD, NP, FAANP

Location Address267 E MAIN ST BLDG CSmithtown, NY 11787-2847

Mailing Address45 Research Way Ste 208aEast Setauket, NY 11733-6401 · (631) 675-2125

Phone(631) 418-8069

Fax(631) 656-0470

Sole ProprietorYes

Enumeration DateApril 26, 2010

Last NPPES UpdateFebruary 15, 2019

✔ NPI 1144547522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 300564

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.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 300564 (NY)

267 E MAIN ST BLDG C, Smithtown, NY 11787

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nancy Balkon Phd, Np, Faanp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

98.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.85

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 5

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

DR. MARILENA MIRICA MD

Internal Medicine