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JENNIFER BALINGCONGAN
NPI 1154675122
Nurse Practitioner - Acute Care in Columbus, OH

Active since October 30, 2012PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
111 S GRANT AVE, COLUMBUS, OH 43215(614) 566-8648(614) 566-8392 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2022, Jun 11, 2019 (2 updates tracked since 2019).

About Jennifer Balingcongan NPPES

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

JENNIFER BALINGCONGAN (NPI 1154675122) is an individual acute care provider in Columbus, Ohio, licensed in Ohio (13750) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154675122
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJENNIFER BALINGCONGAN
Location Address111 S GRANT AVEColumbus, OH 43215-4701
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141 · (614) 566-8648
Phone(614) 566-8648
Fax(614) 566-8392
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 30, 2012
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
✔ NPI 1154675122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · 13750
111 S GRANT AVE, Columbus, OH 43215
Open in Google Maps ↗

Other Identifiers 2

OtherRX 13750OH · Ctpe
Other13750OH · Coa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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 Balingcongan 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 ID1850541954
PECOS Enrollment IDI20121026000132
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 2

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.
95 services95 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43215 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

DR. PRISCA MAYNARD M.D.
Internal Medicine
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-8883
AMANDA NICOLE NEWBURGER
Nurse Practitioner (Neonatal)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9221
LINDA M BERTOLINI CRNA
Anesthesiology
111 S GRANT AVE, 3RD FLOOR
COLUMBUS, OH 43215
Franklin County (614) 566-8808
KARIE L MCLAUGHLIN CNP
Nurse Practitioner
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-8883
DR. SYEDA MARIAM SHAHID MD, MPH
Student in an Organized Health Care Education/Training Program
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9041
PARIS DAE KNIPP PA-C
Physician Assistant
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (740) 417-5607
DR. MARK BECKER M.D.
Radiology (Radiation Oncology)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9506
ANUPAMA SUNDARAM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9000

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 Jennifer Balingcongan's NPI number?

The NPI number for Jennifer Balingcongan is 1154675122. It was assigned to this individual provider in the NPPES registry on October 30, 2012.

Where is Jennifer Balingcongan located?

Jennifer Balingcongan practices at 111 S Grant Ave, Columbus, OH 43215. The listed phone number is (614) 566-8648.

What is Jennifer Balingcongan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jennifer Balingcongan enrolled in Medicare?

Yes. Jennifer Balingcongan 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 Jennifer Balingcongan accept?

Health plans from CareSource and MedMutual list Jennifer Balingcongan 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 Jennifer Balingcongan affiliated with any hospitals?

According to CMS data, Jennifer Balingcongan is affiliated with Grant Medical Center.

When was this NPI record last updated?

The NPPES record for Jennifer Balingcongan was last updated on January 25, 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.