GEMMA DULOSA BALCITA
NPI 1750033155
Nurse Practitioner - Psychiatric/Mental Health in Carlsbad, CA
About Gemma Dulosa Balcita NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEMMA DULOSA BALCITA (NPI 1750033155) is an individual psychiatric/mental health provider in Carlsbad, California, licensed in California (95019380) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orange, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Gemma Dulosa Balcita 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.
Areas of Expertise CMS Part B claims 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Gemma Balcita's NPI number?
The NPI number for Gemma Balcita is 1750033155. It was assigned to this individual provider in the NPPES registry on January 26, 2022.
Where is Gemma Balcita located?
Gemma Balcita practices at 5838 Edison Pl, Carlsbad, CA 92008. The listed phone number is (888) 515-3834.
What is Gemma Balcita's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Gemma Balcita enrolled in Medicare?
Yes. Gemma Balcita 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 Gemma Balcita accept?
Health plans from Providence Health Plan list Gemma Balcita 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 Gemma Balcita was last updated on December 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
