1. Home
  2. Directory
  3. Virginia
  4. Richmond
  5. Nurse Practitioner
  6. NPI Profile

NICOLE BALLACHINO
NPI 1750982401
Nurse Practitioner in Richmond, VA

Active since November 07, 2020PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
5855 BREMO RD, RICHMOND, VA 23226(860) 301-5654 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2022, Nov 7, 2020 (2 updates tracked since 2020).

About Nicole Ballachino NPPES

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

NICOLE BALLACHINO (NPI 1750982401) is an individual nurse practitioner in Richmond, Virginia, licensed in Virginia (0024179884) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2021).

NPPES Registry Identity

NPI1750982401
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE BALLACHINO
Location Address5855 BREMO RDRichmond, VA 23226-1930
Mailing Address1113 E Brookland Park BlvdRichmond, VA 23222-3110 · (860) 301-5654
Phone(860) 301-5654
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2021
Enumeration DateNovember 7, 2020
Last NPPES UpdateMay 18, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1750982401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024179884
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0024179884 (VA)
5855 BREMO RD, Richmond, VA 23226
Open in Google Maps ↗

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

Nicole Ballachino 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 ID8729470018
PECOS Enrollment IDI20220118002411
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 10

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.
253 services180 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.
146 services127 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.
97 services97 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
32 services32 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
30 services13 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23226 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 20

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

JANINE L GIBBONS CRNA
Nurse Anesthetist, Certified Registered
5855 BREMO RD, SUITE 100
RICHMOND, VA 23226
Richmond City (804) 288-6258
BON SECOURS VIRGINIA MEDICAL GROUP I, LLC
Internal Medicine (Infectious Disease)
5855 BREMO RD, SUITE 102
RICHMOND, VA 23226
Richmond City (804) 673-2814
CALEB LESCH
Nurse Anesthetist, Certified Registered
5855 BREMO RD, SUITE 100
RICHMOND, VA 23226
Richmond City (804) 673-1038
PAUL A GHAEMMAGHAMI MD
Colon & Rectal Surgery
5855 BREMO RD, SUITE 101
RICHMOND, VA 23226
Richmond City (804) 673-0080
DRS MEYER DAY AND LOVINGS PC
Pediatrics
5855 BREMO RD, SUITE #302
RICHMOND, VA 23226
Richmond City (804) 282-4207
MR. DAVID M MIRKES CRNA
Nurse Anesthetist, Certified Registered
5855 BREMO RD, SUITE 100
RICHMOND, VA 23226
Richmond City (804) 288-6258
MRS. CAREY WAKINSON ELDER CRNA
Nurse Anesthetist, Certified Registered
5855 BREMO RD, SUITE 100
RICHMOND, VA 23226
Richmond City (804) 288-6258
MICHAEL D. MANDEL M.D.
Internal Medicine
5855 BREMO RD, STE 403
RICHMOND, VA 23226
Richmond City (804) 288-3079

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 Nicole Ballachino's NPI number?

The NPI number for Nicole Ballachino is 1750982401. It was assigned to this individual provider in the NPPES registry on November 7, 2020.

Where is Nicole Ballachino located?

Nicole Ballachino practices at 5855 Bremo Rd, Richmond, VA 23226. The listed phone number is (860) 301-5654.

What is Nicole Ballachino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Ballachino enrolled in Medicare?

Yes. Nicole Ballachino 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.

When was this NPI record last updated?

The NPPES record for Nicole Ballachino was last updated on May 18, 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.