MONICA BALFOUR APRN
NPI 1497208235
Nurse Practitioner - Adult Health in Miami, FL
About Monica Balfour Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONICA BALFOUR APRN (NPI 1497208235) is an individual adult health provider in Miami, Florida, licensed in Florida (APRN9332744) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
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
Monica Balfour Aprn 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
3Medicare enrollment records show Monica Balfour reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33136
- Reassigned Medicare billing, Florida enrollment
- 3,639 clinicians in this Medicare group
Miami, FL 33136
- Reassigned Medicare billing, Florida enrollment
- 570 clinicians in this Medicare group
Hollywood, FL 33021
- Reassigned Medicare billing, Florida enrollment
- 466 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jackson Health System
Acute Care Hospitals · Miami, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33136 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.
MIAMI, FL 33136
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 Monica Balfour's NPI number?
The NPI number for Monica Balfour is 1497208235. It was assigned to this individual provider in the NPPES registry on July 28, 2016.
Where is Monica Balfour located?
Monica Balfour practices at 1400 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 689-5881.
What is Monica Balfour's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Monica Balfour enrolled in Medicare?
Yes. Monica Balfour 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 Monica Balfour's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monica Balfour reassigns Medicare benefits to 3 organizations: University Of Miami (Miami, FL), Public Health Trust Of Miami Dade County Florida (Miami, FL) and South Broward Hospital District (Hollywood, FL). 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 Monica Balfour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monica Balfour accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Monica Balfour 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 Monica Balfour affiliated with any hospitals?
According to CMS data, Monica Balfour is affiliated with Jackson Health System.
When was this NPI record last updated?
The NPPES record for Monica Balfour was last updated on June 14, 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.
# Monica Balfour, APRN · NPI 1497208235
Adult Health physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since July 28, 2016.
## Identity
- **NPI:** 1497208235 (Entity type: Individual)
- **Enumerated:** July 28, 2016
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** APRN9332744 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 NW 12TH AVE, Miami, FL 33136-1003
- **Phone:** (305) 689-5881
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Miami (NPI 1689624108, Miami, FL); Public Health Trust Of Miami Dade County Florida (NPI 1134384423, Miami, FL); South Broward Hospital District (NPI 1407865520, Hollywood, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497208235) · Data from the CMS NPPES public registry.