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MILDRED VILLARAMA BALOTRO FNP
NPI 1396337846
Nurse Practitioner - Family in Las Vegas, NV

Active since February 05, 2021PECOS EnrolledAccepts Medicare Assignment
3061 S MARYLAND PKWY, LAS VEGAS, NV 89109(702) 254-5437 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2024, Feb 5, 2021 (2 updates tracked since 2021).

About Mildred Villarama Balotro Fnp NPPES

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

MILDRED VILLARAMA BALOTRO FNP (NPI 1396337846) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (833734) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2021).

NPPES Registry Identity

NPI1396337846
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMILDRED VILLARAMA BALOTROCredential: FNP
Location Address3061 S MARYLAND PKWYLas Vegas, NV 89109-2298
Mailing Address5035 E Russell Rd Apt 2013Las Vegas, NV 89122-8043 · (702) 340-7351
Phone(702) 254-5437
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2021
Enumeration DateFebruary 5, 2021
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1396337846 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 NV · 833734
3061 S MARYLAND PKWY, Las Vegas, NV 89109
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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

Mildred Villarama Balotro Fnp 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 ID4486169364
PECOS Enrollment IDI20250711001192
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 89109 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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. LARRY F COHLER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3061 S MARYLAND PKWY, SUITE 202
LAS VEGAS, NV 89109
Clark County (702) 731-0022
MARK R LAUSSADE M.D.
Radiology (Diagnostic Radiology)
3061 S MARYLAND PKWY, SUITE 102
LAS VEGAS, NV 89109
Clark County (702) 731-2888
RICHARD A SCHWARTZ M.D.
Radiology (Diagnostic Radiology)
3061 S MARYLAND PKWY, SUITE 102
LAS VEGAS, NV 89109
Clark County (702) 731-2888
KATHLEEN MARY REARDON PNP
Nurse Practitioner (Pediatrics)
3061 S MARYLAND PKWY, #101
LAS VEGAS, NV 89109
Clark County (702) 254-5437
KELLY ROBERT GARDNER M.D.
Radiology (Vascular & Interventional Radiology)
3061 S MARYLAND PKWY, SUITE 102
LAS VEGAS, NV 89109
Clark County (702) 731-2888
DR. DIANNE JOYCE CAPILI YUSI M.D.
Pediatrics
3061 S MARYLAND PKWY, SUITE 101
LAS VEGAS, NV 89109
Clark County (702) 254-5437
MS. KRISTIN M HAMILTON MSPA,.PA-C
Physician Assistant (Surgical)
3061 S MARYLAND PKWY, SUITE 200
LAS VEGAS, NV 89109
Clark County (702) 737-1948
CHRISTINA PAIGE STEINER RRT
Respiratory Therapist, Registered
3061 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 901-4000

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 Mildred Balotro's NPI number?

The NPI number for Mildred Balotro is 1396337846. It was assigned to this individual provider in the NPPES registry on February 5, 2021.

Where is Mildred Balotro located?

Mildred Balotro practices at 3061 S Maryland Pkwy, Las Vegas, NV 89109. The listed phone number is (702) 254-5437.

What is Mildred Balotro's specialty?

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

Is Mildred Balotro enrolled in Medicare?

Yes. Mildred Balotro 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.

When was this NPI record last updated?

The NPPES record for Mildred Balotro was last updated on April 22, 2024. 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.