JACOB BALINKY PMHNP-BC
NPI 1184818080
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since September 04, 2007PECOS EnrolledAccepts Medicare Assignment
3716 NE MLK BLVD, PORTLAND, OR 97212(503) 288-8066 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Balinky Pmhnp-bc NPPES

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

JACOB BALINKY PMHNP-BC (NPI 1184818080) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (200750104NP) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2007).

NPPES Registry Identity

NPI1184818080
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJACOB BALINKYCredential: PMHNP-BC
Location Address3716 NE MLK BLVDPortland, OR 97212-1111
Mailing Address5516 Ne 45th AvePortland, OR 97218-1422
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2007
Enumeration DateSeptember 4, 2007
Last NPPES UpdateNovember 1, 2012
NPI 1184818080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 200750104NP
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 200542475RN (OR)
3716 NE MLK BLVD, Portland, OR 97212

Other Names 1

Former Name (1)Jennifer Ballin

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 and accepts Medicare assignment

Jacob Balinky Pmhnp-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 ID4880764190
PECOS Enrollment IDI20110803000889
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 97212 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 2

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

Counselor (Mental Health)
3716 NE MLK BLVD
PORTLAND, OR 97212
Counselor
3716 NE MLK BLVD
PORTLAND, OR 97212

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 Jacob Balinky's NPI number?

The NPI number for Jacob Balinky is 1184818080. It was assigned to this individual provider in the NPPES registry on September 4, 2007. The provider is also known as Jennifer Ballin.

Where is Jacob Balinky located?

Jacob Balinky practices at 3716 NE Mlk Blvd, Portland, OR 97212. The listed phone number is (503) 288-8066.

What is Jacob Balinky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacob Balinky enrolled in Medicare?

Yes. Jacob Balinky 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 Jacob Balinky accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jacob Balinky 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 Jacob Balinky was last updated on November 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.