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MRS. REBECCA E BALFANZ MSN, RN, CPNP-PC
NPI 1316458359
Nurse Practitioner - Pediatrics in Port Arthur, TX

Active since October 17, 2017PECOS Enrolled
3220 CENTRAL MALL DR, PORT ARTHUR, TX 77642(409) 729-7900(409) 729-7900 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2018, Oct 17, 2017 (2 updates tracked since 2017).

About Mrs. Rebecca E Balfanz Msn, Rn, Cpnp-pc NPPES

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

MRS. REBECCA E BALFANZ MSN, RN, CPNP-PC (NPI 1316458359) is an individual pediatrics provider in Port Arthur, Texas, licensed in Texas (831310) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316458359
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. REBECCA E BALFANZCredential: MSN, RN, CPNP-PC
Location Address3220 CENTRAL MALL DRPort Arthur, TX 77642-8037
Mailing Address890 Larkspur LnBeaumont, TX 77706-4446 · (409) 679-9125
Phone(409) 729-7900
Fax(409) 729-7900
Sole ProprietorNo
Enumeration DateOctober 17, 2017
Last NPPES UpdateFebruary 14, 20182 updates tracked since enumeration
✔ NPI 1316458359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 831310
3220 CENTRAL MALL DR, Port Arthur, TX 77642
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Rebecca E Balfanz Msn, Rn, Cpnp-pc 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.

Medicare Billing Reassignment

Medicare enrollment records show Rebecca Balfanz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ramzi S Dakour MD And Ramona S Ataya Dakour MD, PLLC
12 mi
Family Medicine
3070 COLLEGE ST, SUITE 205
Beaumont, TX 77701
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1851716385 (409) 832-1225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77642 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
$83.80 typical visit price
range $54.04 – $164.93
Typical copayment $20.95 (range $13.51 – $41.23)
Most-billed visit code 99203
Established Patient
$95.83 typical visit price
range $17.17 – $134.47
Typical copayment $23.95 (range $4.29 – $33.61)
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 2

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

SARAH DUBOSE, APRN, PLLC
Nurse Practitioner (Family)
3220 CENTRAL MALL DR
PORT ARTHUR, TX 77642
Jefferson County (409) 729-7900
ANNA KATHALENE LEBEOUF PNP
Nurse Practitioner (Pediatrics)
3220 CENTRAL MALL DR
PORT ARTHUR, TX 77642
Jefferson County (409) 729-7900

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 Rebecca Balfanz's NPI number?

The NPI number for Rebecca Balfanz is 1316458359. It was assigned to this individual provider in the NPPES registry on October 17, 2017.

Where is Rebecca Balfanz located?

Rebecca Balfanz practices at 3220 Central Mall Dr, Port Arthur, TX 77642. The listed phone number is (409) 729-7900.

What is Rebecca Balfanz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Rebecca Balfanz enrolled in Medicare?

Yes. Rebecca Balfanz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rebecca Balfanz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Balfanz reassigns Medicare benefits to Ramzi S Dakour MD And Ramona S Ataya Dakour MD, PLLC (Beaumont, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rebecca Balfanz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Balfanz accept?

Health plans from Blue Cross and Blue Shield of Texas, UnitedHealthcare and WellPoint list Rebecca Balfanz 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 Rebecca Balfanz was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.