KASSANDRA BALLI PA-C
NPI 1801517198
Physician Assistant in Medford, OR

Q: What is Kassandra Balli's NPI number?

The NPI number for Kassandra Balli is 1801517198. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Q: What is Kassandra Balli's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kassandra Balli was last updated on October 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment

3617 S PACIFIC HWY, MEDFORD, OR 97501(541) 535-6239 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2024, Sep 6, 2022 (2 updates tracked since 2022).

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About Kassandra Balli Pa-c NPPES

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

KASSANDRA BALLI PA-C (NPI 1801517198) is an individual physician assistant in Medford, Oregon, licensed in Oregon (PA222599) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Asante Rogue Regional Medical Center, and maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1801517198

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKASSANDRA BALLICredential: PA-C

Location Address3617 S PACIFIC HWYMedford, OR 97501-8957

Mailing Address931 Chevy WayMedford, OR 97504-4127

Phone(541) 535-6239

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2024

Enumeration DateSeptember 6, 2022

Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration

NPPES CertifiedOctober 4, 2024

✔ NPI 1801517198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OR · PA222599

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3617 S PACIFIC HWY, Medford, OR 97501

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Secondary Practice Location 1

Location 1638 Market StMedford, OR 97504-6126 · Phone (541) 535-6239

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Kassandra Balli Pa-c 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 ID3779016795

PECOS Enrollment IDI20241030000469

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.

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380018

Location2825 E Barnett RoadMedford, OR 97504 · Jackson County

Emergency services Birthing friendly

Providence Medford Medical Center

Acute Care Hospitals · Medford, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380075

Location1111 Crater Lake AvenueMedford, OR 97504 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97501 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

TAMARA JOY CHAMBERS APRN, FNP-C

Nurse Practitioner (Family)