KELLY-JO PASS BALIGNASAY ARNP
NPI 1235688771
Nurse Practitioner - Family in Johnston, IA

Q: What is Kelly-jo Balignasay's NPI number?

The NPI number for Kelly-jo Balignasay is 1235688771. It was assigned to this individual provider in the NPPES registry on September 26, 2016. The provider is also known as Kelly-Jo Pass.

Q: What is Kelly-jo Balignasay's specialty?

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

Active since September 26, 2016PECOS Enrolled

6165 NW 86TH ST, JOHNSTON, IA 50131(515) 512-9161(515) 293-6931 Get Directions Write a Review

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

Record update history: May 26, 2026, Apr 25, 2018, Sep 26, 2016 (3 updates tracked since 2016).

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About Kelly-jo Pass Balignasay Arnp NPPES

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

KELLY-JO PASS BALIGNASAY ARNP (NPI 1235688771) is an individual family provider in Johnston, Iowa, licensed in Iowa (A-105278) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235688771

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY-JO PASS BALIGNASAYCredential: ARNP

Location Address6165 NW 86TH STJohnston, IA 50131-2240

Mailing Address3108 155th CirUrbandale, IA 50323-1648 · (515) 554-1737

Phone(515) 512-9161

Fax(515) 293-6931

Sole ProprietorYes

Enumeration DateSeptember 26, 2016

Last NPPES UpdateMay 26, 20263 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1235688771 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 IA · A-105278

6165 NW 86TH ST, Johnston, IA 50131

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Other Names 1

Former Name (1)Kelly-jo Pass

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly-jo Pass Balignasay Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 50131 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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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.

SELF DISCOVERIES PLC

Social Worker (Clinical)