CEARIE BALKCOM ARNP
NPI 1225546468
Nurse Practitioner in Gainesville, FL

Q: What is Cearie Balkcom's NPI number?

The NPI number for Cearie Balkcom is 1225546468. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Q: What is Cearie Balkcom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cearie Balkcom was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 22, 2018PECOS EnrolledAccepts Medicare Assignment

6500 W NEWBERRY RD, GAINESVILLE, FL 32605(844) 673-6968 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Cearie Balkcom Arnp NPPES

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

CEARIE BALKCOM ARNP (NPI 1225546468) is an individual nurse practitioner in Gainesville, Florida, licensed in Florida (ARNP9249767) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gainesville, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1225546468

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCEARIE BALKCOMCredential: ARNP

Location Address6500 W NEWBERRY RDGainesville, FL 32605-4309

Mailing Address3005 Ambrose AveNashville, TN 37207-4709 · (844) 673-6968 · Fax (844) 673-6968

Phone(844) 673-6968

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 22, 2018

Last NPPES UpdateMarch 9, 2021

NPPES CertifiedMarch 9, 2021

✔ NPI 1225546468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP9249767

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP9249767 (FL)

6500 W NEWBERRY RD, Gainesville, FL 32605

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Secondary Practice Location 1

Location 14645 NW 8th AveGainesville, FL 32605-4524 · Phone (352) 375-1212

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

Cearie Balkcom Arnp 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 ID9830436286

PECOS Enrollment IDI20190123004019

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

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

Ibrahim Heart Clinic PLLC

64 mi

Clinical Cardiac Electrophysiology

5150 BELFORT RD BLDG 400
Jacksonville, FL 32256

Reassigned Medicare billing, Florida enrollment
45 clinicians in this Medicare group

NPI 1629511035 (904) 580-4730

Chma Of Fl, PLLC

291 mi

Internal Medicine

2875 NE 191ST ST STE 500
Aventura, FL 33180

Reassigned Medicare billing, Florida enrollment
78 clinicians in this Medicare group

NPI 1912581653 (443) 383-9300

Healing Partners Plus PLLC

898 mi

Internal Medicine

2020 CALAMOS CT STE 250
Naperville, IL 60563

Reassigned Medicare billing, Florida enrollment
39 clinicians in this Medicare group

NPI 1063217545 (888) 402-0202

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 11

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

418 services115 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

334 services129 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

138 services81 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

123 services51 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

53 services53 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

49 services49 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

43 services16 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

25 services12 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

24 services22 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

21 services21 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

MISS SABRINA MICHELLE LOZIER BSN, RN

Registered Nurse