ZACHARY BALLEK AGACNP-BC
NPI 1437878071
Nurse Practitioner - Acute Care in Saint Louis, MO

Active since August 25, 2022PECOS EnrolledAccepts Medicare Assignment
88.92/100
CMS Quality Rating
1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-4750 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Zachary Ballek Agacnp-bc NPPES

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

ZACHARY BALLEK AGACNP-BC (NPI 1437878071) is an individual acute care provider in Saint Louis, Missouri, licensed in Missouri (2022030314) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1437878071
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameZACHARY BALLEKCredential: AGACNP-BC
Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address9134 Heritage Dr Apt DSaint Louis, MO 63123-4153 · (314) 221-7292
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 25, 2022
NPPES CertifiedAugust 25, 2022
✔ NPI 1437878071 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 MO · 2022030314
1201 S GRAND BLVD, Saint Louis, MO 63104

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zachary Ballek Agacnp-bc 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 ID5890171284
PECOS Enrollment IDI20221010000493
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 Zachary Ballek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
Emergency Medicine
3635 VISTA AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 194 clinicians in this Medicare group

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 4

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
30 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Poplar Bluff Regional Medical Center

Acute Care Hospitals · Poplar Bluff, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260119
Location3100 Oak Grove RoadPoplar Bluff, MO 63901 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

88.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.72
Promoting Interoperability100
Improvement Activities40
Cost45.01

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.

Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Radiology (Diagnostic Radiology)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Physician Assistant
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104

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 Zachary Ballek's NPI number?

The NPI number for Zachary Ballek is 1437878071. It was assigned to this individual provider in the NPPES registry on August 25, 2022.

Where is Zachary Ballek located?

Zachary Ballek practices at 1201 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-4750.

What is Zachary Ballek's specialty?

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

Is Zachary Ballek enrolled in Medicare?

Yes. Zachary Ballek 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.

Which organizations bill Medicare for Zachary Ballek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Ballek reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Slh Physicians LLC (Saint Louis, MO). 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 Zachary Ballek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachary Ballek accept?

Health plans from Anthem Blue Cross and Blue Shield list Zachary Ballek 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.

Is Zachary Ballek affiliated with any hospitals?

According to CMS data, Zachary Ballek is affiliated with Ssm Health Saint Louis University Hospital and Poplar Bluff Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Zachary Ballek was last updated on August 25, 2022. 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.