JESSICA L BALCOM FNP-C
NPI 1205320777
Nurse Practitioner - Family in Payson, AZ

Active since June 19, 2018PECOS EnrolledAccepts Medicare Assignment
807 S PONDEROSA ST, PAYSON, AZ 85541(928) 471-3222 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2018, Jun 19, 2018 (2 updates tracked since 2018).

About Jessica L Balcom Fnp-c NPPES

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

JESSICA L BALCOM FNP-C (NPI 1205320777) is an individual family provider in Payson, Arizona, licensed in Arizona (AP11809) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205320777
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA L BALCOMCredential: FNP-C
Location Address807 S PONDEROSA STPayson, AZ 85541-5542
Mailing Address52423 N Az Hwy 188Payson, AZ 85541
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 19, 2018
Last NPPES UpdateSeptember 24, 20182 updates tracked since enumeration
NPI 1205320777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · AP11809
807 S PONDEROSA ST, Payson, AZ 85541

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

Jessica L Balcom Fnp-c 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 ID1850630815
PECOS Enrollment IDI20190308001741
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 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.
117 services111 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.
72 services70 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85541 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers30 claims30 services$18.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers31 claims31 services$106.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
807 S PONDEROSA ST
PAYSON, AZ 85541
Obstetrics & Gynecology
807 S PONDEROSA ST
PAYSON, AZ 85541
Emergency Medicine
807 S PONDEROSA ST
PAYSON, AZ 85541
General Acute Care Hospital
807 S PONDEROSA ST
PAYSON, AZ 85541
General Acute Care Hospital (Critical Access)
807 S PONDEROSA ST
PAYSON, AZ 85541
Nurse Anesthetist, Certified Registered
807 S PONDEROSA ST
PAYSON, AZ 85541
Medicare Defined Swing Bed Unit
807 S PONDEROSA ST
PAYSON, AZ 85541
Nurse Anesthetist, Certified Registered
807 S PONDEROSA ST
PAYSON, AZ 85541

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 Jessica Balcom's NPI number?

The NPI number for Jessica Balcom is 1205320777. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Jessica Balcom located?

Jessica Balcom practices at 807 S Ponderosa St, Payson, AZ 85541. The listed phone number is (928) 471-3222.

What is Jessica Balcom's specialty?

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

Is Jessica Balcom enrolled in Medicare?

Yes. Jessica Balcom 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 Jessica Balcom accept?

Health plans from Blue Cross Blue Shield of Arizona list Jessica Balcom 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 Jessica Balcom was last updated on September 24, 2018. 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.