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MR. EDWARD BALZER PMHNP-BC
NPI 1720763196
Nurse Practitioner - Psychiatric/Mental Health in Melville, NY

Active since June 21, 2023PECOS Enrolled
150 BROADHOLLOW RD STE 222, MELVILLE, NY 11747(631) 203-7144(631) 246-3266 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2025, Jun 21, 2023 (2 updates tracked since 2023).

About Mr. Edward Balzer Pmhnp-bc NPPES

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

MR. EDWARD BALZER PMHNP-BC (NPI 1720763196) is an individual psychiatric/mental health provider in Melville, New York, licensed in New York (F405071-01) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720763196
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. EDWARD BALZERCredential: PMHNP-BC
Location Address150 BROADHOLLOW RD STE 222Melville, NY 11747-4901
Mailing Address150 Broadhollow Rd Ste 222Melville, NY 11747-4901 · (631) 203-7144 · Fax (631) 246-3266
Phone(631) 203-7144
Fax(631) 246-3266
Sole ProprietorYes
Enumeration DateJune 21, 2023
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1720763196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F405071-01
150 BROADHOLLOW RD STE 222, Melville, NY 11747
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Edward Balzer Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Edward Balzer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Priyadarshan Bajpayi, M.D. PC
8.3 mi
Psychiatry
5550 MERRICK RD STE 200
Massapequa, NY 11758
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Priyadarshan Bajpayi MD PC
  • 14 clinicians in this Medicare group
NPI 1629534474 (631) 673-3233

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11747 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

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

COAST TO COAST MEDICAL WELLNESS, PLLC
Specialist
150 BROADHOLLOW RD STE 222
MELVILLE, NY 11747
Suffolk County (631) 343-4184

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 Edward Balzer's NPI number?

The NPI number for Edward Balzer is 1720763196. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Where is Edward Balzer located?

Edward Balzer practices at 150 Broadhollow Rd Ste 222, Melville, NY 11747. The listed phone number is (631) 203-7144.

What is Edward Balzer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Edward Balzer enrolled in Medicare?

Yes. Edward Balzer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edward Balzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Balzer reassigns Medicare benefits to Priyadarshan Bajpayi, M.D. PC (Massapequa, NY). 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 Edward Balzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward Balzer was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.