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CRYSTAL AMANDA BALSON NP-C
NPI 1376033969
Nurse Practitioner - Family in San Antonio, TX

Active since May 18, 2018PECOS Enrolled
55.66/100
CMS Quality Rating
11345 ALAMO RANCH PKWY STE 202, SAN ANTONIO, TX 78253(210) 688-9190(877) 936-8202 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Crystal Amanda Balson Np-c NPPES

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

CRYSTAL AMANDA BALSON NP-C (NPI 1376033969) is an individual family provider in San Antonio, Texas, licensed in Texas (P3733) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376033969
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL AMANDA BALSONCredential: NP-C
Location Address11345 ALAMO RANCH PKWY STE 202San Antonio, TX 78253-6442
Mailing Address15464 W Fm 471 Lot 54San Antonio, TX 78253-4617 · (210) 643-6204
Phone(210) 688-9190
Fax(877) 936-8202
Sole ProprietorNo
Enumeration DateMay 18, 2018
✔ NPI 1376033969 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 TX · P3733
11345 ALAMO RANCH PKWY STE 202, San Antonio, TX 78253
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, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Amanda Balson Np-c 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 Reassignments

4

Medicare enrollment records show Crystal Balson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Services Of Tx, PLLC
8.8 mi
Emergency Medicine
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 1,452 clinicians in this Medicare group
NPI 1245938729 (210) 575-4000
Victoria Emergency Partners LLC
78 mi
Emergency Medicine
1110 N SARAH DEWITT DR
Gonzales, TX 78629
  • Reassigned Medicare billing, Texas enrollment
  • 430 clinicians in this Medicare group
NPI 1164770996 (830) 672-7581
Lone Star Emergency Associates LLC
114 mi
Emergency Medicine
506 E SAN ANTONIO ST
Victoria, TX 77901
  • Reassigned Medicare billing, Texas enrollment
  • 118 clinicians in this Medicare group
NPI 1457709040 (361) 575-7441
Sound Physicians Emergency Medicine Of Texas PLLC
125 mi
Emergency Medicine
2201 CLEAR CREEK RD
Killeen, TX 76549
  • Reassigned Medicare billing, Texas enrollment
  • 387 clinicians in this Medicare group
NPI 1518475557 (254) 526-7523

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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
13 services13 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78253 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

55.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.68
Improvement Activities40
Cost20.46

Other Providers at the Same Location NPPES

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

PRIMWAY DENTAL, PLLC
Clinic/Center (Dental)
11345 ALAMO RANCH PKWY STE 202
SAN ANTONIO, TX 78253
Bexar County (210) 688-9190

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 Crystal Balson's NPI number?

The NPI number for Crystal Balson is 1376033969. It was assigned to this individual provider in the NPPES registry on May 18, 2018.

Where is Crystal Balson located?

Crystal Balson practices at 11345 Alamo Ranch Pkwy Ste 202, San Antonio, TX 78253. The listed phone number is (210) 688-9190.

What is Crystal Balson's specialty?

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

Is Crystal Balson enrolled in Medicare?

Yes. Crystal Balson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Crystal Balson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Balson reassigns Medicare benefits to 4 organizations: Emergency Medicine Services Of Tx, PLLC (San Antonio, TX), Victoria Emergency Partners LLC (Gonzales, TX), Lone Star Emergency Associates LLC (Victoria, TX) and Sound Physicians Emergency Medicine Of Texas PLLC (Killeen, TX). Each 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 Crystal Balson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Balson accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Crystal Balson 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 Crystal Balson was last updated on May 18, 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.