JESSICA LYNN BALKO FNP-C
NPI 1346710191
Nurse Practitioner - Family in Falls Church, VA

Active since December 04, 2018PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 970-2670 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2020, Dec 4, 2018 (2 updates tracked since 2018).

About Jessica Lynn Balko Fnp-c NPPES

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

JESSICA LYNN BALKO FNP-C (NPI 1346710191) is an individual family provider in Falls Church, Virginia, licensed in Virginia (0024176650) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1346710191
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA LYNN BALKOCredential: FNP-C
Location Address3300 GALLOWS RDFalls Church, VA 22042-3307
Mailing Address431 S Columbus St Apt 611Alexandria, VA 22314-3659 · (724) 433-8486
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 4, 2018
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
NPI 1346710191 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 VA · 0024176650
3300 GALLOWS RD, Falls Church, VA 22042

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

Jessica Lynn Balko Fnp-c 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 ID9436498706
PECOS Enrollment IDI20190304001912, I20190314002537
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 2

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.
131 services83 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22042 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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.

Psychiatry & Neurology (Psychiatry)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Obstetrics & Gynecology
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Practitioner (Acute Care)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pediatrics
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Anesthetist, Certified Registered
3300 GALLOWS RD
FALLS CHURCH, VA 22042

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 Jessica Balko's NPI number?

The NPI number for Jessica Balko is 1346710191. It was assigned to this individual provider in the NPPES registry on December 4, 2018.

Where is Jessica Balko located?

Jessica Balko practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 970-2670.

What is Jessica Balko's specialty?

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

Is Jessica Balko enrolled in Medicare?

Yes. Jessica Balko 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 Jessica Balko affiliated with any hospitals?

According to CMS data, Jessica Balko is affiliated with Inova Alexandria Hospital, Inova Loudoun Hospital, Inova Fairfax Hospital, Inova Fair Oaks Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Balko was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.