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DORAELIA QUIROZ BALDERAS FNP-BC
NPI 1184445405
Nurse Practitioner - Family in Rocky Ford, CO

Active since October 19, 2024PECOS EnrolledAccepts Medicare Assignment
902 LOWELL DR, ROCKY FORD, CO 81067(830) 719-8219(719) 697-1758 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2026, Mar 29, 2025 (2 updates tracked since 2025).

About Doraelia Quiroz Balderas Fnp-bc NPPES

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

DORAELIA QUIROZ BALDERAS FNP-BC (NPI 1184445405) is an individual family provider in Rocky Ford, Colorado, licensed in Colorado (1000688) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1184445405
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDORAELIA QUIROZ BALDERASCredential: FNP-BC
Location Address902 LOWELL DRRocky Ford, CO 81067-2104
Mailing Address902 Lowell DrRocky Ford, CO 81067-2104 · (830) 719-8219 · Fax (719) 697-1758
Phone(830) 719-8219
Fax(719) 697-1758
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 19, 2024
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1184445405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · 1000688
Also ListedRegistered NurseTaxonomy 163W00000X · License 0185371 (CO)
902 LOWELL DR, Rocky Ford, CO 81067
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Doraelia Quiroz Balderas Fnp-bc 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 ID1658559521
PECOS Enrollment IDI20250529002245
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

3

Medicare enrollment records show Doraelia Balderas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Balderas LLC.
0.1 mi
Family
902 LOWELL DR
Rocky Ford, CO 81067
  • Reassigned Medicare billing, Colorado enrollment
NPI 1952291551 (719) 652-2962
Lykos Medical LLC
85 mi
Family Medicine
595 CHAPEL HILLS DR STE 303A
Colorado Springs, CO 80920
  • Reassigned Medicare billing, Colorado enrollment
  • 17 clinicians in this Medicare group
NPI 1215423124 (719) 434-8810
Mws Wound Solutions LLC
85 mi
Family Medicine
595 CHAPEL HILLS DR STE 303B
Colorado Springs, CO 80920
  • Reassigned Medicare billing, Colorado enrollment
  • 4 clinicians in this Medicare group
NPI 1184482952 (719) 922-1002

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81067 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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

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

BALDERAS LLC.
Nurse Practitioner (Family)
902 LOWELL DR
ROCKY FORD, CO 81067
Otero County (719) 652-2962

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 Doraelia Balderas's NPI number?

The NPI number for Doraelia Balderas is 1184445405. It was assigned to this individual provider in the NPPES registry on October 19, 2024.

Where is Doraelia Balderas located?

Doraelia Balderas practices at 902 Lowell Dr, Rocky Ford, CO 81067. The listed phone number is (830) 719-8219.

What is Doraelia Balderas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Doraelia Balderas enrolled in Medicare?

Yes. Doraelia 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.

Which organizations bill Medicare for Doraelia Balderas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Doraelia Balderas reassigns Medicare benefits to 3 organizations: Balderas LLC. (Rocky Ford, CO), Lykos Medical LLC (Colorado Springs, CO) and Mws Wound Solutions LLC (Colorado Springs, CO). 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 Doraelia Balderas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Doraelia Balderas was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.