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LEAH ASHLEY BALCH AGPCNP
NPI 1225451925
Nurse Practitioner - Gerontology in Greeneville, TN

Active since January 31, 2014PECOS EnrolledAccepts Medicare Assignment
1406 TUSCULUM BLVD STE 1200, GREENEVILLE, TN 37745(423) 787-6370(423) 787-6371 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2022, Jun 9, 2021, Oct 2, 2015 (3 updates tracked since 2015).

About Leah Ashley Balch Agpcnp NPPES

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

LEAH ASHLEY BALCH AGPCNP (NPI 1225451925) is an individual gerontology provider in Greeneville, Tennessee, licensed in Tennessee (18140) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with Greeneville Community Hospital, and maintains a secondary practice location in Greeneville.

NPPES Registry Identity

NPI1225451925
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLEAH ASHLEY BALCHCredential: AGPCNP
Location Address1406 TUSCULUM BLVD STE 1200Greeneville, TN 37745-4341
Mailing Address509 Med Tech Pkwy Ste 100Johnson City, TN 37604-2579 · (423) 302-6565 · Fax (423) 952-2175
Phone(423) 787-6370
Fax(423) 787-6371
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 31, 2014
Last NPPES UpdateJuly 28, 20223 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1225451925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TN · 18140
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 18140 (TN)
1406 TUSCULUM BLVD STE 1200, Greeneville, TN 37745
Open in Google Maps ↗

Other Names 1

Former Name (1)Leah Ashley Simms

Secondary Practice Location 1

Location 1438 E Vann Rd, Suite 202Greeneville, TN 37743-7202 · Phone (423) 278-1703 · Fax (423) 278-1773

Other Identifiers 1

Other6010370TN · Bcbst

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Leah Ashley Balch Agpcnp 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 ID4587897053
PECOS Enrollment IDI20140507002000
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services63 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37745 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Kat Rickey May 18, 2025

5/5
A true professional, Leah listens, works with, and cares about her patients. I am quite picky about my medical practitioners, and I can highly recommend her.
Provider 5/5 Office Staff 4/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 4

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

GORDON MARSA M.D.
Internal Medicine (Gastroenterology)
1406 TUSCULUM BLVD STE 1200
GREENEVILLE, TN 37745
Greene County (423) 302-6565
JENNIFER LEIGH JOHNSON APRN, FNP-C
Nurse Practitioner (Family)
1406 TUSCULUM BLVD STE 1200
GREENEVILLE, TN 37745
Greene County (423) 787-6370
JOSEPH KRETSCHMAR M.D.
Internal Medicine (Gastroenterology)
1406 TUSCULUM BLVD STE 1200
GREENEVILLE, TN 37745
Greene County (423) 787-6370
MRS. ALICE VICTORIA LILLY FNP-C
Nurse Practitioner (Family)
1406 TUSCULUM BLVD STE 1200
GREENEVILLE, TN 37745
Greene County (423) 787-6370

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 Leah Balch's NPI number?

The NPI number for Leah Balch is 1225451925. It was assigned to this individual provider in the NPPES registry on January 31, 2014. The provider is also known as Leah Ashley Simms.

Where is Leah Balch located?

Leah Balch practices at 1406 Tusculum Blvd Ste 1200, Greeneville, TN 37745. The listed phone number is (423) 787-6370.

What is Leah Balch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Leah Balch enrolled in Medicare?

Yes. Leah Balch 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 Leah Balch accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Leah Balch 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.

Is Leah Balch affiliated with any hospitals?

According to CMS data, Leah Balch is affiliated with Greeneville Community Hospital and Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Leah Balch was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.