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 and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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.
Physician 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.
What insurance does Monica Balfour accept?
Health plans from AvMed 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.
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
- **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.