PREJILA BALAKRISHNAN MSN,ARNP,FNP-C
NPI 1649774852
Nurse Practitioner - Family in Brandon, FL

Q: What is Prejila Balakrishnan's NPI number?

The NPI number for Prejila Balakrishnan is 1649774852. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Q: What is Prejila Balakrishnan's specialty?

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

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment

61.42/100

CMS Quality Rating

910 OAKFIELD DR STE 102, BRANDON, FL 33511(813) 681-4413(813) 681-6429 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Prejila Balakrishnan Msn,arnp,fnp-c NPPES

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

PREJILA BALAKRISHNAN MSN,ARNP,FNP-C (NPI 1649774852) is an individual family provider in Brandon, Florida, licensed in Florida (9243027) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649774852

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePREJILA BALAKRISHNANCredential: MSN,ARNP,FNP-C

Location Address910 OAKFIELD DR STE 102Brandon, FL 33511-4925

Mailing Address910 Oakfield Dr Ste 102Brandon, FL 33511-4925 · (813) 681-4413 · Fax (813) 681-6429

Phone(813) 681-4413

Fax(813) 681-6429

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 21, 2018

✔ NPI 1649774852 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 FL · 9243027

910 OAKFIELD DR STE 102, Brandon, FL 33511

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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

Prejila Balakrishnan Msn,arnp,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 ID4284067067

PECOS Enrollment IDI20191209002651

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 Reassignment

Medicare enrollment records show Prejila Balakrishnan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pulmonary Associates Of Brandon PA

Same address

Pulmonary Disease

910 OAKFIELD DR, SUITE 102
Brandon, FL 33511

Reassigned Medicare billing, Florida enrollment
12 clinicians in this Medicare group

NPI 1811932239 (813) 681-4413

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 2

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.

683 services484 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.

88 services76 patients

Hospital Affiliations CMS Care Compare 2

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Hca Florida South Shore Hospital

Acute Care Hospitals · Sun City Center, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100259

Location4016 Sun City Center BlvdSun City Center, FL 33573 · Hillsborough County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

61.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

62.99

Promoting Interoperability

Improvement Activities

Cost

81.39

Referred Medical Equipment & Supplies CMS DME claims 26

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

13 suppliers144 claims144 services$32.85 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

10 suppliers79 claims79 services$73.92 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

9 suppliers76 claims204 services$29.55 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

10 suppliers57 claims294 services$17.25 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

9 suppliers52 claims282 services$13.41 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

13 suppliers117 claims118 services$46.54 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

16 suppliers110 claims110 services$14.87 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

7 suppliers22 claims22 services$8.27 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

12 suppliers56 claims57 services$10.54 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

16 suppliers186 claims963 services$1.73 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

8 suppliers38 claims38 services$5.21 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

12 suppliers51 claims51 services$9.89 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier57 claims58 services$14.38 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$32.70 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers15 claims15 services$80.65 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

6 suppliers17 claims17 services$116.81 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers121 claims122 services$9.76 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier34 claims42 services$3.77 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

12 suppliers329 claims338 services$27.64 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers141 claims142 services$67.21 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers60 claims60 services$29.13 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier33 claims1,650 services$6.48 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers29 claims3,973 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers20 claims1,390 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers30 claims1,470 services$0.78 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

8 suppliers58 claims58 services$25.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Prejila Balakrishnan's NPI number?

The NPI number for Prejila Balakrishnan is 1649774852. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Prejila Balakrishnan located?

Prejila Balakrishnan practices at 910 Oakfield Dr Ste 102, Brandon, FL 33511. The listed phone number is (813) 681-4413.

What is Prejila Balakrishnan's specialty?

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

Is Prejila Balakrishnan enrolled in Medicare?

Yes. Prejila Balakrishnan 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 organization bills Medicare for Prejila Balakrishnan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prejila Balakrishnan reassigns Medicare benefits to Pulmonary Associates Of Brandon PA (Brandon, FL). The 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 Prejila Balakrishnan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Prejila Balakrishnan affiliated with any hospitals?

According to CMS data, Prejila Balakrishnan is affiliated with St Josephs Hospital and Hca Florida South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Prejila Balakrishnan was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.