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ROSALBA BALDERAS FNP
NPI 1598339327
Nurse Practitioner - Family in Brownsville, TX

Active since May 17, 2021PECOS EnrolledAccepts Medicare Assignment
844 CENTRAL BLVD, BROWNSVILLE, TX 78520(956) 542-9900 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rosalba Balderas Fnp NPPES

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

ROSALBA BALDERAS FNP (NPI 1598339327) is an individual family provider in Brownsville, Texas, licensed in Texas (1037456) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1598339327
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROSALBA BALDERASCredential: FNP
Location Address844 CENTRAL BLVDBrownsville, TX 78520-7552
Mailing Address844 Central BlvdBrownsville, TX 78520-7552 · (956) 542-9900
Phone(956) 542-9900
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 17, 2021
NPPES CertifiedMay 13, 2021
✔ NPI 1598339327 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
License✔ Licensed in TX · 1037456
844 CENTRAL BLVD, Brownsville, TX 78520
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Rosalba Balderas Fnp 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 ID4789069725
PECOS Enrollment IDI20220912003643
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 4

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, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
294 services102 patients
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.
58 services40 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
14 services13 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78520 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 15

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

AMMAR MOHAMED-ALI HALLOUM M.D.
Internal Medicine (Pulmonary Disease)
844 CENTRAL BLVD, 420
BROWNSVILLE, TX 78520
Cameron County (956) 428-7862
BROWNSVILLE PULMONARY CENTER, P.A.
Internal Medicine
844 CENTRAL BLVD, SUITE 420
BROWNSVILLE, TX 78520
Cameron County (956) 428-7862
RICARDO MARTIN SCHWARCZ MD
Internal Medicine (Pulmonary Disease)
844 CENTRAL BLVD, SUITE 420
BROWNSVILLE, TX 78520
Cameron County (956) 542-9900
JOSE LUIS MAYMI MD
Urology
844 CENTRAL BLVD, SUITE 430
BROWNSVILLE, TX 78520
Cameron County (956) 554-4857
INTENSIVE CARE CONSULTANTS, PLLC
Specialist
844 CENTRAL BLVD, SUITE 420
BROWNSVILLE, TX 78520
Cameron County (956) 542-9900
DR. CLAUDIA P GARCIA M.D.
Obstetrics & Gynecology
844 CENTRAL BLVD, SUITE 470
BROWNSVILLE, TX 78520
Cameron County (956) 546-0369
CLAUDIA P. GARCIA, M.D.
Obstetrics & Gynecology
844 CENTRAL BLVD, SUITE 470
BROWNSVILLE, TX 78520
Cameron County (956) 546-0369
BROWNSVILLE PULMONARY CENTER, P.A.
Internal Medicine (Sleep Medicine)
844 CENTRAL BLVD, SUITE 420
BROWNSVILLE, TX 78520
Cameron County (956) 542-9900

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 Rosalba Balderas's NPI number?

The NPI number for Rosalba Balderas is 1598339327. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Rosalba Balderas located?

Rosalba Balderas practices at 844 Central Blvd, Brownsville, TX 78520. The listed phone number is (956) 542-9900.

What is Rosalba Balderas's specialty?

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

Is Rosalba Balderas enrolled in Medicare?

Yes. Rosalba Balderas 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 Rosalba Balderas accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Rosalba Balderas 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 Rosalba Balderas was last updated on May 17, 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.