AUDRA BALLASH PA
NPI 1558870139
Physician Assistant - Medical in Lakewood Ranch, FL

Active since September 26, 2017PECOS EnrolledAccepts Medicare Assignment
96.6/100
CMS Quality Rating
6600 UNIVERSITY PKWY STE 301, LAKEWOOD RANCH, FL 34240(941) 361-1100(941) 361-1103 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 8, 2024, Jul 11, 2022 (2 updates tracked since 2022).

About Audra Ballash Pa NPPES

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

AUDRA BALLASH PA (NPI 1558870139) is an individual medical provider in Lakewood Ranch, Florida, licensed in Florida (PA9116153) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1558870139
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAUDRA BALLASHCredential: PA
Location Address6600 UNIVERSITY PKWY STE 301Lakewood Ranch, FL 34240-9048
Mailing Address6600 University Pkwy Ste 301Lakewood Ranch, FL 34240-9048 · (941) 361-1100 · Fax (941) 361-1103
Fax(941) 361-1103
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 26, 2017
Last NPPES UpdateMay 8, 20242 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
NPI 1558870139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9116153
6600 UNIVERSITY PKWY STE 301, Lakewood Ranch, FL 34240

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

Audra Ballash Pa 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 ID6406117597
PECOS Enrollment IDI20220722000465
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
164 services123 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
93 services86 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Hca Florida Sarasota Doctors Hospital

Acute Care Hospitals · Sarasota, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100166
Location5731 Bee Ridge RdSarasota, FL 34233 · Sarasota County
Emergency services

Lakewood Ranch Medical Center

Acute Care Hospitals · Bradenton, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100299
Location8330 Lakewood Ranch BlvdBradenton, FL 34202 · Manatee County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Physician Assistant (Medical)
6600 UNIVERSITY PKWY STE 301
LAKEWOOD RANCH, FL 34240
Nurse Practitioner (Family)
6600 UNIVERSITY PKWY STE 301
LAKEWOOD RANCH, FL 34240
Physician Assistant (Medical)
6600 UNIVERSITY PKWY STE 301
LAKEWOOD RANCH, FL 34240
Internal Medicine (Gastroenterology)
6600 UNIVERSITY PKWY STE 301
LAKEWOOD RANCH, FL 34240
Internal Medicine (Gastroenterology)
6600 UNIVERSITY PKWY STE 301
LAKEWOOD RANCH, FL 34240
Internal Medicine (Gastroenterology)
6600 UNIVERSITY PKWY STE 301
LAKEWOOD RANCH, FL 34240
Physician Assistant (Medical)
6600 UNIVERSITY PKWY STE 301
LAKEWOOD RANCH, FL 34240
Internal Medicine (Gastroenterology)
6600 UNIVERSITY PKWY STE 301
LAKEWOOD RANCH, FL 34240

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 Audra Ballash's NPI number?

The NPI number for Audra Ballash is 1558870139. It was assigned to this individual provider in the NPPES registry on September 26, 2017.

Where is Audra Ballash located?

Audra Ballash practices at 6600 University Pkwy Ste 301, Lakewood Ranch, FL 34240. The listed phone number is (941) 361-1100.

What is Audra Ballash's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Audra Ballash enrolled in Medicare?

Yes. Audra Ballash 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 Audra Ballash accept?

Health plans from AvMed list Audra Ballash 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 Audra Ballash affiliated with any hospitals?

According to CMS data, Audra Ballash is affiliated with Sarasota Memorial Hospital, Hca Florida Sarasota Doctors Hospital and Lakewood Ranch Medical Center.

When was this NPI record last updated?

The NPPES record for Audra Ballash was last updated on May 8, 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.