CYNTHIA BALATBAT APRN
NPI 1730842915
Nurse Practitioner - Family in New Britain, CT

Active since October 15, 2021PECOS EnrolledAccepts Medicare Assignment
179 COLUMBUS BLVD, NEW BRITAIN, CT 06051(860) 356-2557 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2026, Jun 2, 2026, Nov 18, 2022 and 1 more (4 updates tracked since 2021).

About Cynthia Balatbat Aprn NPPES

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

CYNTHIA BALATBAT APRN (NPI 1730842915) is an individual family provider in New Britain, Connecticut, licensed in Connecticut (11376) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1730842915
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCYNTHIA BALATBATCredential: APRN
Location Address179 COLUMBUS BLVDNew Britain, CT 06051-2264
Mailing AddressPo Box 745254Atlanta, GA 30374-5254
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 15, 2021
Last NPPES UpdateAugust 20, 20264 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1730842915 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 CT · 11376
Also ListedRegistered NurseTaxonomy 163W00000X · License 10.116054 (CT)
179 COLUMBUS BLVD, New Britain, CT 06051

Secondary Practice Locations 2

Location 1276 Highland Ave Ste 2AWaterbury, CT 06708-3022 · Phone (203) 819-7220
Location 256 Franklin StWaterbury, CT 06706-1253 · Phone (203) 709-6153

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

Cynthia Balatbat Aprn 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 ID4587035845
PECOS Enrollment IDI20230124001851
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

5

Medicare enrollment records show Cynthia Balatbat reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
2000 N MAIN ST
Waterbury, CT 06704
  • Reassigned Medicare billing, Connecticut enrollment
  • 22 clinicians in this Medicare group
Family Medicine
317 FOXON RD
East Haven, CT 06513
  • Reassigned Medicare billing, Connecticut enrollment
  • 35 clinicians in this Medicare group
Family Medicine
317 FOXON ROAD 2B
East Haven, CT 06513
  • Reassigned Medicare billing, Connecticut enrollment
  • 31 clinicians in this Medicare group
Geriatric Medicine
1266 E MAIN ST
Stamford, CT 06902
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Careconnectmd Connecticut P.C.
  • 168 clinicians in this Medicare group
Nurse Practitioner
100 CROSSING BLVD
Framingham, MA 01702
  • Reassigned Medicare billing, Connecticut enrollment
  • 149 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.

Areas of Expertise CMS Part B claims 4

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
65 services33 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.
26 services21 patients
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.
19 services16 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
18 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06051 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 2

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

Nurse Practitioner (Gerontology)
179 COLUMBUS BLVD
NEW BRITAIN, CT 06051
Nurse Practitioner (Family)
179 COLUMBUS BLVD
NEW BRITAIN, CT 06051

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 Cynthia Balatbat's NPI number?

The NPI number for Cynthia Balatbat is 1730842915. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Cynthia Balatbat located?

Cynthia Balatbat practices at 179 Columbus Blvd, New Britain, CT 06051. The listed phone number is (860) 356-2557.

What is Cynthia Balatbat's specialty?

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

Is Cynthia Balatbat enrolled in Medicare?

Yes. Cynthia Balatbat 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 Cynthia Balatbat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Balatbat reassigns Medicare benefits to 5 organizations: Nova Physician Group PLLC (Waterbury, CT), Ct Medical Group Inc. (East Haven, CT), Docs Medical Inc (East Haven, CT), Careconnectmd Connecticut PC (Stamford, CT) and Hdc Care Solutions, LLC (Framingham, MA). 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 Cynthia Balatbat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Balatbat accept?

Health plans from Anthem Blue Cross and Blue Shield list Cynthia Balatbat 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 Cynthia Balatbat was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.