JACINTHA BALLINGALL NP
NPI 1275837593
Nurse Practitioner - Acute Care in Middletown, NJ

Active since December 29, 2010PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
480 RED HILL RD, MIDDLETOWN, NJ 07748(848) 225-6308 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacintha Ballingall Np NPPES

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

JACINTHA BALLINGALL NP (NPI 1275837593) is an individual acute care provider in Middletown, New Jersey, licensed in New Jersey (26NJ00474000) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1275837593
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJACINTHA BALLINGALLCredential: NP
Location Address480 RED HILL RDMiddletown, NJ 07748-3052
Mailing Address480 Red Hill RdMiddletown, NJ 07748-3052
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 29, 2010
Last NPPES UpdateMarch 20, 2019
NPI 1275837593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NJ · 26NJ00474000
480 RED HILL RD, Middletown, NJ 07748

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

Jacintha Ballingall Np 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 ID9931449709
PECOS Enrollment IDI20190314002120
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.

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.
526 services147 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.
159 services89 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.
25 services21 patients

Hospital Affiliations CMS Care Compare

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07748 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.76
Improvement Activities40

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.

Radiology (Radiation Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Physician Assistant (Surgical)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Registered Nurse (Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Physician Assistant (Surgical)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Radiology (Diagnostic Radiology)
480 RED HILL RD, MEMORIAL SLOAN KETTERING CANCER CENTER
MIDDLETOWN, NJ 07748
Pharmacist
480 RED HILL RD
MIDDLETOWN, NJ 07748
Nurse Practitioner (Family)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Internal Medicine (Medical Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748

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 Jacintha Ballingall's NPI number?

The NPI number for Jacintha Ballingall is 1275837593. It was assigned to this individual provider in the NPPES registry on December 29, 2010.

Where is Jacintha Ballingall located?

Jacintha Ballingall practices at 480 Red Hill Rd, Middletown, NJ 07748. The listed phone number is (848) 225-6308.

What is Jacintha Ballingall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jacintha Ballingall enrolled in Medicare?

Yes. Jacintha Ballingall 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.

Is Jacintha Ballingall affiliated with any hospitals?

According to CMS data, Jacintha Ballingall is affiliated with Riverview Medical Center.

When was this NPI record last updated?

The NPPES record for Jacintha Ballingall was last updated on March 20, 2019. 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.