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WILLIE BENJAMIN BALLOU NP-C
NPI 1548657802
Nurse Practitioner in Tempe, AZ

Active since April 23, 2015PECOS EnrolledAccepts Medicare Assignment
4041 S MCCLINTOCK DR, TEMPE, AZ 85282(520) 233-7111 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2021, Jun 28, 2021 (2 updates tracked since 2021).

About Willie Benjamin Ballou Np-c NPPES

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

WILLIE BENJAMIN BALLOU NP-C (NPI 1548657802) is an individual nurse practitioner in Tempe, Arizona, licensed in Arizona (229136) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1548657802
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameWILLIE BENJAMIN BALLOUCredential: NP-C
Location Address4041 S MCCLINTOCK DRTempe, AZ 85282-5879
Mailing Address4041 S Mcclintock Dr, Ste 311Tempe, AZ 85282-5879 · (520) 233-7111
Phone(520) 233-7111
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 23, 2015
Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
✔ NPI 1548657802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AZ · 229136
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.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP127755 (TX)
4041 S MCCLINTOCK DR, Tempe, AZ 85282
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Secondary Practice Location 1

Location 12718 Skyview Point Dr, NoneHouston, TX 77047-8122 · Phone (281) 908-6346

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross and Blue Shield of Texas.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

Willie Benjamin Ballou Np-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.

PECOS PAC ID4385908086
PECOS Enrollment IDI20260204004529
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

8

Medicare enrollment records show Willie Ballou reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adobe Provider Group
Same address
Nurse Practitioner
4041 S MCCLINTOCK DR STE 302
Tempe, AZ 85282
  • Reassigned Medicare billing, Arizona enrollment
  • 67 clinicians in this Medicare group
NPI 1659850279 (480) 339-1780
Adobe Ph PC
14 mi
Family Medicine
7500 N DREAMY DRAW DR STE 100
Phoenix, AZ 85020
  • Reassigned Medicare billing, New Mexico, Nevada and Oregon enrollments
  • 10 clinicians in this Medicare group
NPI 1891535142 (480) 339-1780
Adobe Ph Ca Medical Group, P.C.
346 mi
Family Medicine
135 S STATE COLLEGE BLVD # 228
Brea, CA 92821
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Adobe Ph Ca Medical Group PC
  • 18 clinicians in this Medicare group
NPI 1427889195 (480) 339-1780
Great Health Aftx PC
703 mi
Family Medicine
1003 COLUMBIA ST
Stamford, TX 79553
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1174384259 (212) 201-1252
Vpa Of Texas PLLC
832 mi
Family Medicine
5414 FREDERICKSBURG RD STE 100A
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
NPI 1174561575 (210) 468-0800
Signify Health, LLC
873 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona and New Mexico enrollments
  • 556 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Signify Health Medical Associates, PLLC
873 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Nevada, Oregon and Texas enrollments
  • 206 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
Community Care Health Network LLC
1,438 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Louisiana enrollment
  • 26 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

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 9

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,451 services247 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
1,428 services242 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,428 services242 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
239 services92 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
199 services117 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
120 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85282 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARACELI INEZ LUNA VIDAL RN
Registered Nurse (Case Management)
4041 S MCCLINTOCK DR
TEMPE, AZ 85282
Maricopa County (520) 233-7111
MS. LINDSEY H MALONE RN
Registered Nurse (Case Management)
4041 S MCCLINTOCK DR
TEMPE, AZ 85282
Maricopa County (520) 233-7111
DANIELA WALLACE
Registered Nurse (Case Management)
4041 S MCCLINTOCK DR
TEMPE, AZ 85282
Maricopa County (480) 401-5086
PAMELA S RUSSELL RN, WCC, BSN
Registered Nurse (Case Management)
4041 S MCCLINTOCK DR
TEMPE, AZ 85282
Maricopa County (520) 233-7111
ADOBE CARE AND WELLNESS NEW MEXICO LLC
Case Management
4041 S MCCLINTOCK DR
TEMPE, AZ 85282
Maricopa County (480) 339-1780

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 Willie Ballou's NPI number?

The NPI number for Willie Ballou is 1548657802. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Willie Ballou located?

Willie Ballou practices at 4041 S Mcclintock Dr, Tempe, AZ 85282. The listed phone number is (520) 233-7111.

What is Willie Ballou's specialty?

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

Is Willie Ballou enrolled in Medicare?

Yes. Willie Ballou 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 Willie Ballou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willie Ballou reassigns Medicare benefits to 8 organizations: Adobe Provider Group (Tempe, AZ), Adobe Ph PC (Phoenix, AZ), Adobe Ph Ca Medical Group, P.C. (Brea, CA), Great Health Aftx PC (Stamford, TX), Vpa Of Texas PLLC (San Antonio, TX) and 3 more organizations, listed in the Medicare section above. 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 Willie Ballou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Willie Ballou accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross and Blue Shield of Texas list Willie Ballou 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 Willie Ballou was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.