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JANINA BALCITA
NPI 1174304273
Nurse Practitioner in New Martinsville, WV

Active since October 13, 2023PECOS Enrolled
3 E BENJAMIN DR, NEW MARTINSVILLE, WV 26155(304) 455-8000 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Janina Balcita NPPES

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

JANINA BALCITA (NPI 1174304273) is an individual nurse practitioner in New Martinsville, West Virginia, licensed in West Virginia (117452) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174304273
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJANINA BALCITA
Location Address3 E BENJAMIN DRNew Martinsville, WV 26155-2705
Mailing Address277 Kettler AveWheeling, WV 26003-4690 · (973) 830-9796
Phone(304) 455-8000
Sole ProprietorNo
Enumeration DateOctober 13, 2023
NPPES CertifiedOctober 13, 2023
✔ NPI 1174304273 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 WV · 117452
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.
3 E BENJAMIN DR, New Martinsville, WV 26155
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janina Balcita 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Janina Balcita reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wetzel County Hospital, Inc.
0.3 mi
Family Medicine
3 E BENJAMIN DR
New Martinsville, WV 26155
  • Reassigned Medicare billing, West Virginia enrollment
  • 130 clinicians in this Medicare group
NPI 1518590033 (304) 455-8000
Reynolds Memorial Hospital, Inc.
19 mi
Pulmonary Disease
800 WHEELING AVE
Glen Dale, WV 26038
  • Reassigned Medicare billing, West Virginia enrollment
  • 275 clinicians in this Medicare group
NPI 1265040356 (304) 843-3307

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
79 services75 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
42 services40 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26155 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

FIRST SETTLEMENT ORTHOPAEDICS INC
Orthopaedic Surgery
3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
Wetzel County (740) 373-8756
MEGAN WILT
Speech-Language Pathologist
3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
Wetzel County (304) 455-8007
ZAKI M ELSARRAG MD
Emergency Medicine
3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
Wetzel County (304) 455-8000
WETZEL COUNTY HOSPITAL ASSOCIATION
Emergency Medicine
3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
Wetzel County (304) 455-8010
WETZEL COUNTY HOSPITAL, INC.
Clinic/Center (Rural Health)
3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
Wetzel County (304) 455-8000
LINDSAY BECKETT PT, DPT
Physical Therapist
3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
Wetzel County (304) 455-8007
DR. JOY CATHERINE KIM MD
General Practice
3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
Wetzel County (304) 455-8000
WETZEL COUNTY HOSPITAL ASSOCIATION
Skilled Nursing Facility
3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
Wetzel County (304) 455-8000

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 Janina Balcita's NPI number?

The NPI number for Janina Balcita is 1174304273. It was assigned to this individual provider in the NPPES registry on October 13, 2023.

Where is Janina Balcita located?

Janina Balcita practices at 3 E Benjamin Dr, New Martinsville, WV 26155. The listed phone number is (304) 455-8000.

What is Janina Balcita's specialty?

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

Is Janina Balcita enrolled in Medicare?

Yes. Janina Balcita is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Janina Balcita's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janina Balcita reassigns Medicare benefits to 2 organizations: Wetzel County Hospital, Inc. (New Martinsville, WV) and Reynolds Memorial Hospital, Inc. (Glen Dale, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Janina Balcita's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janina Balcita accept?

Health plans from CareSource list Janina Balcita 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 Janina Balcita was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.