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MRS. THERESE MARIE BALL ANP
NPI 1407190796
Nurse Practitioner - Adult Health in East Amherst, NY

Active since November 27, 2012PECOS Enrolled
4371 TONAWANDA CREEK RD, EAST AMHERST, NY 14051(716) 688-6075 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Therese Marie Ball Anp NPPES

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

MRS. THERESE MARIE BALL ANP (NPI 1407190796) is an individual adult health provider in East Amherst, New York, licensed in New York (F306283-1) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407190796
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. THERESE MARIE BALLCredential: ANP
Location Address4371 TONAWANDA CREEK RDEast Amherst, NY 14051-1042
Mailing Address4371 Tonawanda Creek RdEast Amherst, NY 14051-1042 · (716) 688-6075
Phone(716) 688-6075
Sole ProprietorYes
Enumeration DateNovember 27, 2012
✔ NPI 1407190796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F306283-1
4371 TONAWANDA CREEK RD, East Amherst, NY 14051
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Therese Marie Ball Anp 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

2

Medicare enrollment records show Therese Ball reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trinity Medical Wny PC
8.8 mi
Orthopaedic Surgery
192 PARK CLUB LANE, SUITE 100
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 332 clinicians in this Medicare group
NPI 1144878893 (716) 204-1101
Niagara Pulmonary And Sleep Medicine, P.C.
12 mi
Pulmonary Disease
6941 ELAINE DR, SUITE 2
Niagara Falls, NY 14304
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1336113810 (716) 298-8133

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
155 services65 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
105 services73 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
47 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14051 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier15 claims15 services$9.86 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier15 claims90 services$1.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Therese Ball's NPI number?

The NPI number for Therese Ball is 1407190796. It was assigned to this individual provider in the NPPES registry on November 27, 2012.

Where is Therese Ball located?

Therese Ball practices at 4371 Tonawanda Creek Rd, East Amherst, NY 14051. The listed phone number is (716) 688-6075.

What is Therese Ball's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Therese Ball enrolled in Medicare?

Yes. Therese Ball is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Therese Ball's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Therese Ball reassigns Medicare benefits to 2 organizations: Trinity Medical Wny PC (Williamsville, NY) and Niagara Pulmonary And Sleep Medicine, P.C. (Niagara Falls, NY). 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 Therese Ball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Therese Ball was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.