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JOSEL BALINO MSN, APRN, FNP-C
NPI 1568094969
Nurse Practitioner - Family in Lenexa, KS

Active since February 04, 2020PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
16990 W 86TH ST, STE 100, LENEXA, KS 66219(913) 676-8400(913) 599-1682 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2025, Feb 4, 2020 (2 updates tracked since 2020).

About Josel Balino Msn, Aprn, Fnp-c NPPES

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

JOSEL BALINO MSN, APRN, FNP-C (NPI 1568094969) is an individual family provider in Lenexa, Kansas, licensed in Kansas (53-79116-121) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1568094969
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSEL BALINOCredential: MSN, APRN, FNP-C
Location Address16990 W 86TH ST, STE 100Lenexa, KS 66219
Mailing Address16990 W 86th St, Ste 100Lenexa, KS 66219 · (913) 676-8400 · Fax (913) 599-1682
Phone(913) 676-8400
Fax(913) 599-1682
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 4, 2020
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1568094969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in KS · 53-79116-121✔ Licensed in MO · 2019045211
16990 W 86TH ST, Lenexa, KS 66219
Open in Google Maps ↗

Secondary Practice Location 1

Location 110205 State Line Rd Ste 100Kansas City, MO 64114-4263 · Phone (816) 354-3090 · Fax (816) 354-3091

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Josel Balino Msn, Aprn, Fnp-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 ID4789012097
PECOS Enrollment IDI20200320000731
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 7

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 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.
83 services82 patients
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.
52 services48 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
15 services15 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66219 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

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.

JORDAN LEVI WALTER PA-C
Physician Assistant
16990 W 86TH ST, STE 100
LENEXA, KS 66219
Johnson County (913) 676-8400
DR. WILLIAM JOHN HENDRICKS M.D.
Family Medicine
16990 W 86TH ST, SUITE 100
LENEXA, KS 66219
Johnson County (913) 676-8400
BROOKE VARNUM
Family Medicine
16990 W 86TH ST, STE 100
LENEXA, KS 66219
Johnson County (913) 676-8400
DR. MARIA B WERLY M.D.
Family Medicine
16990 W 86TH ST, STE 100
LENEXA, KS 66219
Johnson County (913) 676-8400
MRS. ELIZABETH ANN BEAL M.D.
Family Medicine
16990 W 86TH ST, STE 100
LENEXA, KS 66219
Johnson County (913) 676-8400

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 Josel Balino's NPI number?

The NPI number for Josel Balino is 1568094969. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Where is Josel Balino located?

Josel Balino practices at 16990 W 86th St Ste 100, Lenexa, KS 66219. The listed phone number is (913) 676-8400.

What is Josel Balino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Josel Balino enrolled in Medicare?

Yes. Josel Balino 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 Josel Balino accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Josel Balino 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 Josel Balino affiliated with any hospitals?

According to CMS data, Josel Balino is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Josel Balino was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.