TONI BALLARD NP
NPI 1730773177
Nurse Practitioner - Family in Pearl City, HI

Q: What is Toni Ballard's NPI number?

The NPI number for Toni Ballard is 1730773177. It was assigned to this individual provider in the NPPES registry on February 25, 2021.

Q: What is Toni Ballard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Toni Ballard was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 February 25, 2021PECOS EnrolledAccepts Medicare Assignment

941 KAMEHAMEHA HWY STE 204, PEARL CITY, HI 96782(808) 829-1244 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2022, Dec 10, 2021, Feb 25, 2021 (3 updates tracked since 2021).

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About Toni Ballard Np NPPES

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

TONI BALLARD NP (NPI 1730773177) is an individual family provider in Pearl City, Hawaii, licensed in Hawaii (APRN-3388-0) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pearl Harbor, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1730773177

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTONI BALLARDCredential: NP

Location Address941 KAMEHAMEHA HWY STE 204Pearl City, HI 96782-2516

Mailing Address1253 Makalapa Gate RdPearl Harbor, HI 96860-4479

Phone(808) 829-1244

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 25, 2021

Last NPPES UpdateMay 16, 20223 updates tracked since enumeration

NPPES CertifiedMay 16, 2022

✔ NPI 1730773177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in HI · APRN-3388-0

Also ListedRegistered NurseTaxonomy 163W00000X · License RN-96985 (HI)

941 KAMEHAMEHA HWY STE 204, Pearl City, HI 96782

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Secondary Practice Location 1

Location 11253 Makalapa Gate RdPearl Harbor, HI 96860-4479 · Phone (808) 473-1880

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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

Toni Ballard 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.

PECOS PAC ID244604221

PECOS Enrollment IDI20230314001084

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 3

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.

23 services23 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

17 services17 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96782 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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 4

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

SHANNON N HAYES PSYD, LMHC, LPC

Counselor (Mental Health)

941 KAMEHAMEHA HWY STE 204
PEARL CITY, HI 96782

Honolulu County (832) 661-6565

HAWAII CHILD AND FAMILY THERAPY

Counselor (Mental Health)

941 KAMEHAMEHA HWY STE 204
PEARL CITY, HI 96782

Honolulu County (808) 954-2334

TAMICKCO MARIA DEEN JACKSON MENTAL HEALTH COUNSE

Counselor (Mental Health)

941 KAMEHAMEHA HWY STE 204
PEARL CITY, HI 96782

Honolulu County (808) 633-0405

KEAHLOHA HOU INC.

Counselor (Mental Health)

941 KAMEHAMEHA HWY STE 204
PEARL CITY, HI 96782

Honolulu County (808) 255-3652

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 Toni Ballard's NPI number?

The NPI number for Toni Ballard is 1730773177. It was assigned to this individual provider in the NPPES registry on February 25, 2021.

Where is Toni Ballard located?

Toni Ballard practices at 941 Kamehameha Hwy Ste 204, Pearl City, HI 96782. The listed phone number is (808) 829-1244.

What is Toni Ballard's specialty?

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

Is Toni Ballard enrolled in Medicare?

Yes. Toni Ballard 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 Toni Ballard accept?

Health plans from HMSA list Toni Ballard 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 Toni Ballard was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.