DAVID BRIAN BALDERSON NP
NPI 1730705989
Nurse Practitioner - Family in Stevens Point, WI
About David Brian Balderson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID BRIAN BALDERSON NP (NPI 1730705989) is an individual family provider in Stevens Point, Wisconsin, licensed in Wisconsin (9884-33) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
David Brian Balderson Np 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.
Medicare Billing Reassignments
5Medicare enrollment records show David Balderson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sun Prairie, WI 53590
- Reassigned Medicare billing, Wisconsin enrollment
- 3 clinicians in this Medicare group
Madison, WI 53704
- Reassigned Medicare billing, Wisconsin enrollment
- 13 clinicians in this Medicare group
Brookfield, WI 53005
- Reassigned Medicare billing, Wisconsin enrollment
- 41 clinicians in this Medicare group
Jackson, MS 39201
- Reassigned Medicare billing, Wisconsin enrollment
- 7 clinicians in this Medicare group
Los Angeles, CA 90045
- Reassigned Medicare billing, Missouri, New York and Wisconsin enrollments
- 15 clinicians in this Medicare group
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 54481 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 David Balderson's NPI number?
The NPI number for David Balderson is 1730705989. It was assigned to this individual provider in the NPPES registry on June 23, 2020.
Where is David Balderson located?
David Balderson practices at 2001 River View Ave Trlr 88, Stevens Point, WI 54481. The listed phone number is (715) 540-0069.
What is David Balderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is David Balderson enrolled in Medicare?
Yes. David Balderson 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 David Balderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Balderson reassigns Medicare benefits to 5 organizations: Promed Preferred Wi 2 Service Corporation (Sun Prairie, WI), Madison Mobile Wound Care Practice (Madison, WI), Geiger Medical, LLC (Brookfield, WI), Harmonycares Complete Health Services, PLLC (Jackson, MS) and Global Wound Care Medical Group (Los Angeles, CA). 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 David Balderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Balderson accept?
Health plans from Anthem Blue Cross and Blue Shield list David Balderson 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 David Balderson was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# David Brian Balderson, NP · NPI 1730705989
Family physician in Stevens Point, Wisconsin. Individual provider, active in the CMS NPPES registry since June 23, 2020.
## Identity
- **NPI:** 1730705989 (Entity type: Individual)
- **Enumerated:** June 23, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9884-33 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2001 RIVER VIEW AVE TRLR 88, Stevens Point, WI 54481-5278
- **Phone:** (715) 540-0069
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Promed Preferred Wi 2 Service Corporation (NPI 1952291049, Sun Prairie, WI); Madison Mobile Wound Care Practice (NPI 1831945237, Madison, WI); Geiger Medical, LLC (NPI 1700234978, Brookfield, WI); Harmonycares Complete Health Services, PLLC (NPI 1093543902, Jackson, MS); Global Wound Care Medical Group (NPI 1235831132, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730705989) · Data from the CMS NPPES public registry.