TONJANIKA BALLARD PMHNP
NPI 1255717088
Nurse Practitioner - Psychiatric/Mental Health in Richmond, VA

Q: What is Tonjanika Ballard's NPI number?

The NPI number for Tonjanika Ballard is 1255717088. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Q: What is Tonjanika Ballard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tonjanika Ballard was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 August 04, 2015PECOS EnrolledAccepts Medicare Assignment

4901 FITZHUGH AVE STE 200, RICHMOND, VA 23230(804) 464-8340(804) 884-3726 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2020, Dec 30, 2019, Aug 1, 2018 and 1 more (4 updates tracked since 2016).

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About Tonjanika Ballard Pmhnp NPPES

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

TONJANIKA BALLARD PMHNP (NPI 1255717088) is an individual psychiatric/mental health provider in Richmond, Virginia, licensed in Virginia (0024172800) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1255717088

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTONJANIKA BALLARDCredential: PMHNP

Location Address4901 FITZHUGH AVE STE 200Richmond, VA 23230-3531

Mailing Address4901 Fitzhugh Ave Ste 200Richmond, VA 23230-3531 · (804) 464-8340 · Fax (804) 884-3726

Phone(804) 464-8340

Fax(804) 884-3726

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 4, 2015

Last NPPES UpdateOctober 31, 20244 updates tracked since enumeration

NPPES CertifiedOctober 31, 2024

✔ NPI 1255717088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in VA · 0024172800

4901 FITZHUGH AVE STE 200, Richmond, VA 23230

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Tonjanika Ballard Pmhnp 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 ID3476869348

PECOS Enrollment IDI20160321001060

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

155 services40 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

93 services21 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.

68 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23230 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 3

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

MRS. RACHEL S SMITH NURSE PRACTITIONER

Nurse Practitioner (Psychiatric/Mental Health)

4901 FITZHUGH AVE STE 200
RICHMOND, VA 23230

Henrico County (804) 464-8340

ZURI ALEXIS CARLOSHIA MELVIN LCSW

Social Worker (Clinical)

4901 FITZHUGH AVE STE 200
RICHMOND, VA 23230

Henrico County (804) 464-8340

ULTIMATE OUTCOMES THERAPEUTIC SERVICES

Community/Behavioral Health

4901 FITZHUGH AVE STE 200
RICHMOND, VA 23230

Henrico County (804) 213-0140

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 Tonjanika Ballard's NPI number?

The NPI number for Tonjanika Ballard is 1255717088. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Tonjanika Ballard located?

Tonjanika Ballard practices at 4901 Fitzhugh Ave Ste 200, Richmond, VA 23230. The listed phone number is (804) 464-8340.

What is Tonjanika Ballard's specialty?

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

Is Tonjanika Ballard enrolled in Medicare?

Yes. Tonjanika Ballard 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 Tonjanika Ballard accept?

Health plans from Providence Health Plan list Tonjanika Ballard 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 Tonjanika Ballard was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.