Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ARTEMISA BALILAJ NP
NPI 1487387270
Nurse Practitioner in Philadelphia, PA

Active since July 08, 2022PECOS EnrolledAccepts Medicare Assignment
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-1622(215) 707-0943 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 1, 2026, Jul 8, 2022 (2 updates tracked since 2022).

About Artemisa Balilaj Np NPPES

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

ARTEMISA BALILAJ NP (NPI 1487387270) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP024981) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487387270
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameARTEMISA BALILAJCredential: NP
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address3509 N Broad StPhiladelphia, PA 19140-4105 · (215) 707-3911
Fax(215) 707-0943
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 8, 2022
Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1487387270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP024981
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3401 N BROAD ST, Philadelphia, PA 19140

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

Artemisa Balilaj Np 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 ID6204298946
PECOS Enrollment IDI20240912001760
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 Artemisa Balilaj reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Addiction Medicine
3401 N BROAD ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
General Practice
3233 KENSINGTON AVE
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment

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

Hospital Affiliations CMS Care Compare

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

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

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 Artemisa Balilaj's NPI number?

The NPI number for Artemisa Balilaj is 1487387270. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Where is Artemisa Balilaj located?

Artemisa Balilaj practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-1622.

What is Artemisa Balilaj's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Artemisa Balilaj enrolled in Medicare?

Yes. Artemisa Balilaj 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 Artemisa Balilaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Artemisa Balilaj reassigns Medicare benefits to 2 organizations: Temple Faculty Practice Plan Inc (Philadelphia, PA) and Kensington Health Practice LLC (Philadelphia, PA). 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 Artemisa Balilaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Artemisa Balilaj accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Artemisa Balilaj 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 Artemisa Balilaj affiliated with any hospitals?

According to CMS data, Artemisa Balilaj is affiliated with Temple University Hospital.

When was this NPI record last updated?

The NPPES record for Artemisa Balilaj was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.