ANDREA BALAZS ARNP
NPI 1295721439
Nurse Practitioner - Family in Spokane Valley, WA

Q: What is Andrea Balazs's NPI number?

The NPI number for Andrea Balazs is 1295721439. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Q: What is Andrea Balazs's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Balazs was last updated on July 21, 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.

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment

12410 E SINTO AVE STE 101, SPOKANE VALLEY, WA 99216(509) 838-2531(509) 755-6580 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 21, 2017, Mar 27, 2017 and 1 more (4 updates tracked since 2017).

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About Andrea Balazs Arnp NPPES

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

ANDREA BALAZS ARNP (NPI 1295721439) is an individual family provider in Spokane Valley, Washington, licensed in Washington (AP30003720) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Deaconess Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1295721439

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANDREA BALAZSCredential: ARNP

Location Address12410 E SINTO AVE STE 101Spokane Valley, WA 99216-2258

Mailing AddressPo Box 3649Spokane, WA 99220 · (509) 838-2531 · Fax (509) 755-6580

Phone(509) 838-2531

Fax(509) 755-6580

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateSeptember 22, 2005

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1295721439 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 WA · AP30003720

12410 E SINTO AVE STE 101, Spokane Valley, WA 99216

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Other Identifiers 6

Other000010143137Blue Shield Of Idaho

OtherBA1773Asuris Nw Health

Other129923WA · Labor & Industries

Other500008540Railroad Medicare

Medicaid9624867WA

Medicaid805577102ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, 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

Andrea Balazs 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 ID4385786631

PECOS Enrollment IDI20100125000369

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 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.

219 services147 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.

77 services43 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

43 services39 patients

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

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Deaconess Medical Center

Acute Care Hospitals · Spokane, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500044

LocationW 800 Fifth AvenueSpokane, WA 99210 · Spokane County

Emergency services Birthing friendly

Multicare Valley Hospital

Acute Care Hospitals · Spokane, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500119

Location12606 East Mission AvenueSpokane, WA 99216 · Spokane County

Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500129

Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99216 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers12 claims12 services$17.81 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$91.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

PAUL D ROSENBAUM DPT

Physical Therapist