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MR. CHARLES DOUGLAS BALCOME ACNP
NPI 1376027557
Nurse Practitioner - Acute Care in Phoenix, AZ

Active since September 24, 2018PECOS EnrolledAccepts Medicare Assignment
16601 N 40TH ST STE 204, PHOENIX, AZ 85032(602) 633-3721(602) 595-1127 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2021, May 30, 2019, Nov 19, 2018 and 1 more (4 updates tracked since 2018).

About Mr. Charles Douglas Balcome Acnp NPPES

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

MR. CHARLES DOUGLAS BALCOME ACNP (NPI 1376027557) is an individual acute care provider in Phoenix, Arizona, licensed in Arizona (AP11604) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376027557
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. CHARLES DOUGLAS BALCOMECredential: ACNP
Location Address16601 N 40TH ST STE 204Phoenix, AZ 85032-3356
Mailing Address22331 N 79th DrPeoria, AZ 85383-2157 · (602) 335-9374
Phone(602) 633-3721
Fax(602) 595-1127
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 24, 2018
Last NPPES UpdateOctober 20, 20214 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
✔ NPI 1376027557 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 AZ · AP11604
16601 N 40TH ST STE 204, Phoenix, AZ 85032
Open in Google Maps ↗

Other Identifiers 1

Medicaid443489AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.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

Mr. Charles Douglas Balcome Acnp 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 ID8921342767
PECOS Enrollment IDI20181204003698
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85032 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 20

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

DR. SCOTT J HILLMANN M.D.
Surgery
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 996-4747
ADAM MINA DO
Surgery (Surgical Critical Care)
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 633-3721
DR. JEFFREY A SINGER MD
Surgery
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 996-4747
MR. SCOTT SHOLEM
Surgery (Trauma Surgery)
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 996-4747
DR. MEGHANN LEE KAISER M.D.
Surgery (Surgical Critical Care)
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 633-3721
RIMA AHMAD MBBS
Surgery
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 996-4747
DR. NASRIN GHALYAIE M.D
Colon & Rectal Surgery
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 996-4747
DR. QAALI A HUSSEIN M.D.
Surgery (Surgical Critical Care)
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 633-3721

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 Charles Balcome's NPI number?

The NPI number for Charles Balcome is 1376027557. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Where is Charles Balcome located?

Charles Balcome practices at 16601 N 40th St Ste 204, Phoenix, AZ 85032. The listed phone number is (602) 633-3721.

What is Charles Balcome's specialty?

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

Is Charles Balcome enrolled in Medicare?

Yes. Charles Balcome 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 Charles Balcome accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Charles Balcome 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 Charles Balcome was last updated on October 20, 2021. 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.