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AMANDA BOUY BALCH WHNP
NPI 1760775639
Nurse Practitioner in San Mateo, CA

Active since May 25, 2011PECOS Enrolled
71.53/100
CMS Quality Rating
951 MARINERS ISLAND BLVD, SAN MATEO, CA 94404(650) 285-6927(888) 352-7383 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 25, 2022, Mar 1, 2021 (2 updates tracked since 2021).

About Amanda Bouy Balch Whnp NPPES

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

AMANDA BOUY BALCH WHNP (NPI 1760775639) is an individual nurse practitioner in San Mateo, California, licensed in California (NP20385) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1760775639
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA BOUY BALCHCredential: WHNP
Location Address951 MARINERS ISLAND BLVDSan Mateo, CA 94404-1558
Mailing Address10170 Sorrento Valley Rd, Mail Drop Sv-5San Diego, CA 92121-1604 · (858) 784-5888
Phone(650) 285-6927
Fax(888) 352-7383
Sole ProprietorNo
Enumeration DateMay 25, 2011
Last NPPES UpdateFebruary 25, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2022
✔ NPI 1760775639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP20385
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.
951 MARINERS ISLAND BLVD, San Mateo, CA 94404
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11090 Vermont Ave NWWashington, DC 20005-4905 · Phone (650) 285-6927
Location 21201 Hays StTallahassee, FL 32301-2699 · Phone (650) 285-6927
Location 3251 Little Falls DrWilmington, DE 19808-1674 · Phone (650) 285-6927
Location 4211 E 7th St Ste 620Austin, TX 78701-3218 · Phone (650) 285-6927
Location 5501 Louisiana AveBaton Rouge, LA 70802-5921 · Phone (650) 285-6927

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Bouy Balch Whnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Amanda Balch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The University Of Texas At Austin
1,492 mi
General Practice
1601 TRINITY ST
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 294 clinicians in this Medicare group
NPI 1073032546 (833) 882-2737

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94404 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

71.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.85
Improvement Activities40
Cost69.55

Other Providers at the Same Location NPPES 3

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

PATIENCE ANN NELSON CNM, WHNP
Advanced Practice Midwife
951 MARINERS ISLAND BLVD
SAN MATEO, CA 94404
San Mateo County (650) 285-6927
BRANDI SEYMOUR MANNING FNP-C
Nurse Practitioner (Family)
951 MARINERS ISLAND BLVD
SAN MATEO, CA 94404
San Mateo County (650) 285-6927
SPENCER HEALTHCARE LLC
Hospice Care, Community Based
951 MARINERS ISLAND BLVD, SUITE 300
SAN MATEO, CA 94404
San Mateo County (650) 488-5590

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 Amanda Balch's NPI number?

The NPI number for Amanda Balch is 1760775639. It was assigned to this individual provider in the NPPES registry on May 25, 2011.

Where is Amanda Balch located?

Amanda Balch practices at 951 Mariners Island Blvd, San Mateo, CA 94404. The listed phone number is (650) 285-6927.

What is Amanda Balch's specialty?

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

Is Amanda Balch enrolled in Medicare?

Yes. Amanda Balch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Balch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Balch reassigns Medicare benefits to The University Of Texas At Austin (Austin, TX). The 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 Amanda Balch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Balch accept?

Health plans from Blue Cross and Blue Shield of Texas list Amanda Balch 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 Amanda Balch was last updated on February 25, 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.