NICOLE LEE BALCHUNE DO
NPI 1659505931
Internal Medicine in Hazleton, PA

Q: What is Nicole Balchune's NPI number?

The NPI number for Nicole Balchune is 1659505931. It was assigned to this individual provider in the NPPES registry on May 14, 2009.

Q: What is Nicole Balchune's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Balchune was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 14, 2009PECOS EnrolledAccepts Medicare Assignment

1000 ALLIANCE DR, HAZLETON, PA 18202(570) 459-2226(570) 459-2511 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2023, Aug 10, 2020 (2 updates tracked since 2020).

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About Nicole Lee Balchune Do NPPES

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

NICOLE LEE BALCHUNE DO (NPI 1659505931) is an individual internal medicine provider in Hazleton, Pennsylvania, licensed in Pennsylvania (OS014813) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2006).

NPPES Registry Identity

NPI1659505931

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameNICOLE LEE BALCHUNECredential: DO

Location Address1000 ALLIANCE DRHazleton, PA 18202-3234

Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (570) 790-2391

Phone(570) 459-2226

Fax(570) 459-2511

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2006

Enumeration DateMay 14, 2009

Last NPPES UpdateJune 13, 20232 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1659505931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · OS014813

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1000 ALLIANCE DR, Hazleton, PA 18202

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Other Identifiers 1

Other440771PA · Medicare Aa #

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

Nicole Lee Balchune Do 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 ID7012060916

PECOS Enrollment IDI20090724000277

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 Reassignments

Medicare enrollment records show Nicole Balchune reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group

Same address

Internal Medicine

1000 ALLIANCE DR STE 1
Hazleton, PA 18202

Reassigned Medicare billing, Pennsylvania enrollment
2,895 clinicians in this Medicare group

NPI 1871357202 (570) 459-2226

Geisinger Clinic

1.5 mi

Family Medicine

300 HOLLYWOOD BLVD
Orwigsburg, PA 17961

Reassigned Medicare billing, Pennsylvania enrollment
4,429 clinicians in this Medicare group

NPI 1932151842 (570) 366-1715

Lehigh Valley Physician Group

2.8 mi

General Practice

564 W BROAD ST, SUITE 2
Hazleton, PA 18201

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Hazleton Professional Services
305 clinicians in this Medicare group

NPI 1942609599 (570) 501-6220

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 16

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.

482 services296 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.

170 services170 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

96 services43 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

80 services60 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

67 services20 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

60 services15 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

56 services55 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.

51 services50 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

26 services20 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.

23 services23 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

22 services22 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

20 services20 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

16 services16 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

16 services16 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

15 services15 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390006

Location100 North Academy AvenueDanville, PA 17822 · Montour County

Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390133

Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County

Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number390185

Location700 East Broad StreetHazleton, PA 18201 · Luzerne County

Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18202 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers42 claims116 services$5.56 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers19 claims19 services$43.37 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 supplier12 claims12 services$14.30 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 suppliers49 claims49 services$61.67 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$34.24 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

1 supplier13 claims1,440 services$0.08 avg. paid by Medicare

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

Other Providers at the Same Location NPPES 11

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

VADIM LOSHAKOV I M.D.

Obstetrics & Gynecology

1000 ALLIANCE DR
HAZLETON, PA 18202

Luzerne County (570) 501-6450

DR. JODI WASHINSKY LENKO MD

Internal Medicine

1000 ALLIANCE DR
HAZLETON, PA 18202

Luzerne County (570) 459-2226

DR. DEBORAH ANNE GORSKI MD

Internal Medicine

1000 ALLIANCE DR
HAZLETON, PA 18202

Luzerne County (570) 474-5048

PATRICK FIERO MD

Obstetrics & Gynecology

1000 ALLIANCE DR
HAZLETON, PA 18202

Luzerne County (570) 501-6450

MS. AMANDA EVANS PA-C

Physician Assistant (Medical)

1000 ALLIANCE DR
HAZLETON, PA 18202

Luzerne County (570) 459-2226

JENNIFER RUCH CNM

Advanced Practice Midwife

1000 ALLIANCE DR, SUITE 10
HAZLETON, PA 18202

Luzerne County (570) 501-6450

SHANNA KULICK CRNP

Nurse Practitioner (Family)

1000 ALLIANCE DR
HAZLETON, PA 18202

Luzerne County (570) 459-2226

DR. RENEE MARIA DOUGHERTY D.O.

Internal Medicine

1000 ALLIANCE DR
HAZLETON, PA 18202

Luzerne County (484) 672-8810

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 Nicole Balchune's NPI number?

The NPI number for Nicole Balchune is 1659505931. It was assigned to this individual provider in the NPPES registry on May 14, 2009.

Where is Nicole Balchune located?

Nicole Balchune practices at 1000 Alliance Dr, Hazleton, PA 18202. The listed phone number is (570) 459-2226.

What is Nicole Balchune's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicole Balchune enrolled in Medicare?

Yes. Nicole Balchune 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 organizations bill Medicare for Nicole Balchune's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Balchune reassigns Medicare benefits to 3 organizations: Lehigh Valley Physician Group (Hazleton, PA), Geisinger Clinic (Orwigsburg, PA) and Lehigh Valley Physician Group (Hazleton, PA). Each 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 Nicole Balchune's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicole Balchune affiliated with any hospitals?

According to CMS data, Nicole Balchune is affiliated with Geisinger Medical Center, Lehigh Valley Hospital, Lehigh Valley Hospital - Hazleton and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Balchune was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.