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ALYSSA MARIA BALLANTYNE FNP
NPI 1730918905
Nurse Practitioner - Family in Albany, NY

Active since July 29, 2024PECOS EnrolledAccepts Medicare Assignment
1444 WESTERN AVE STE D, ALBANY, NY 12203(518) 452-0587(518) 218-0152 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2024, Jul 29, 2024 (2 updates tracked since 2024).

About Alyssa Maria Ballantyne Fnp NPPES

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

ALYSSA MARIA BALLANTYNE FNP (NPI 1730918905) is an individual family provider in Albany, New York, licensed in New York (354267) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730918905
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALYSSA MARIA BALLANTYNECredential: FNP
Location Address1444 WESTERN AVE STE DAlbany, NY 12203-3458
Mailing AddressPo Box 14890Albany, NY 12212-4890
Phone(518) 452-0587
Fax(518) 218-0152
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 29, 2024
Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1730918905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 354267
1444 WESTERN AVE STE D, Albany, NY 12203
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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

Alyssa Maria Ballantyne Fnp 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 ID9032641105
PECOS Enrollment IDI20241014003471
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.

Hospital Affiliations CMS Care Compare 2

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

DR. MICHAEL S MCCLOSKEY DNP-FNP
Nurse Practitioner (Family)
1444 WESTERN AVE STE D
ALBANY, NY 12203
Albany County (518) 452-0587
KAYLEIGH JANE D'AMICO FNP-BC
Nurse Practitioner (Family)
1444 WESTERN AVE STE D
ALBANY, NY 12203
Albany County (518) 452-0587
JENNIFER DALY FNP
Nurse Practitioner (Family)
1444 WESTERN AVE STE D
ALBANY, NY 12203
Albany County (518) 452-0587
NICOLE LUIBRAND PA
Physician Assistant
1444 WESTERN AVE STE D
ALBANY, NY 12203
Albany County (518) 452-0587

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 Alyssa Ballantyne's NPI number?

The NPI number for Alyssa Ballantyne is 1730918905. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Alyssa Ballantyne located?

Alyssa Ballantyne practices at 1444 Western Ave Ste D, Albany, NY 12203. The listed phone number is (518) 452-0587.

What is Alyssa Ballantyne's specialty?

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

Is Alyssa Ballantyne enrolled in Medicare?

Yes. Alyssa Ballantyne 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.

Is Alyssa Ballantyne affiliated with any hospitals?

According to CMS data, Alyssa Ballantyne is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Alyssa Ballantyne was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.