MICHELLE BALDERAS PHYSICIAN ASSISTANT
NPI 1164076717
Physician Assistant - Medical in Dallas, TX

Active since July 31, 2019PECOS Enrolled
12201 MERIT DR STE 300, DALLAS, TX 75251(214) 294-8989(214) 294-8977 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Balderas Physician Assistant NPPES

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

MICHELLE BALDERAS PHYSICIAN ASSISTANT (NPI 1164076717) is an individual medical provider in Dallas, Texas, licensed in Texas (PA12972) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164076717
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMICHELLE BALDERASCredential: PHYSICIAN ASSISTANT
Location Address12201 MERIT DR STE 300Dallas, TX 75251-3139
Mailing Address208 North StLewisville, TX 75057-3144 · (214) 450-9048
Fax(214) 294-8977
Sole ProprietorNo
Enumeration DateJuly 31, 2019
NPI 1164076717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA12972
12201 MERIT DR STE 300, Dallas, TX 75251

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 (PECOS)

Michelle Balderas Physician Assistant 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.

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.

Obstetrics & Gynecology
12201 MERIT DR STE 300
DALLAS, TX 75251
Family Medicine
12201 MERIT DR STE 300
DALLAS, TX 75251
Family Medicine
12201 MERIT DR STE 300
DALLAS, TX 75251
Family Medicine
12201 MERIT DR STE 300
DALLAS, TX 75251
Family Medicine
12201 MERIT DR STE 300
DALLAS, TX 75251
Physician Assistant
12201 MERIT DR STE 300
DALLAS, TX 75251

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 Michelle Balderas's NPI number?

The NPI number for Michelle Balderas is 1164076717. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Where is Michelle Balderas located?

Michelle Balderas practices at 12201 Merit Dr Ste 300, Dallas, TX 75251. The listed phone number is (214) 294-8989.

What is Michelle Balderas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michelle Balderas enrolled in Medicare?

Yes. Michelle Balderas is registered in the Medicare PECOS enrollment system.

What insurance does Michelle Balderas accept?

Health plans from Blue Cross and Blue Shield of Texas list Michelle 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.

When was this NPI record last updated?

The NPPES record for Michelle Balderas was last updated on July 31, 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.