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: July 19, 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
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

Secondary Practice Location 1

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

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

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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 6

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

Registered Nurse (Case Management)
4041 S MCCLINTOCK DR
TEMPE, AZ 85282
Registered Nurse (Case Management)
4041 S MCCLINTOCK DR
TEMPE, AZ 85282
Registered Nurse (Case Management)
4041 S MCCLINTOCK DR
TEMPE, AZ 85282
Registered Nurse (Case Management)
4041 S MCCLINTOCK DR
TEMPE, AZ 85282
Case Management
4041 S MCCLINTOCK DR
TEMPE, AZ 85282
Nurse Practitioner (Adult Health)
4041 S MCCLINTOCK DR
TEMPE, AZ 85282

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548657802, enumerated as an "individual" on April 23, 2015.

The provider is located at 4041 S MCCLINTOCK DR TEMPE, AZ 85282 and the phone number is (520) 233-7111.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health and Blue. Please consult your insurance carrier or call the provider to verify.