DINAJAWAN BALDERAS FNP-C
NPI 1477384634
Nurse Practitioner - Family in Marana, AZ
About Dinajawan Balderas Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DINAJAWAN BALDERAS FNP-C (NPI 1477384634) is an individual family provider in Marana, Arizona, licensed in Arizona (311993) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Dinajawan Balderas Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Dinajawan Balderas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marana, AZ 85653
- Reassigned Medicare billing, Arizona enrollment
- 169 clinicians in this Medicare group
Tucson, AZ 85745
- Reassigned Medicare billing, Arizona enrollment
- 464 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MARANA, AZ 85653
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 Dinajawan Balderas's NPI number?
The NPI number for Dinajawan Balderas is 1477384634. It was assigned to this individual provider in the NPPES registry on August 9, 2024. The provider is also known as Dinajawan Lajom Balderas.
Where is Dinajawan Balderas located?
Dinajawan Balderas practices at 13395 N Marana Main St, Marana, AZ 85653. The listed phone number is (520) 682-4111.
What is Dinajawan Balderas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dinajawan Balderas enrolled in Medicare?
Yes. Dinajawan Balderas 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 Dinajawan Balderas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dinajawan Balderas reassigns Medicare benefits to 2 organizations: Marana Health Center Inc (Marana, AZ) and El Rio Santa Cruz Neighborhood Health Center, Inc (Tucson, AZ). 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 Dinajawan Balderas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dinajawan Balderas accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 3 other insurers list Dinajawan Balderas 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 Dinajawan Balderas was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.