1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Nurse Practitioner
  6. NPI Profile

DAWN BALCOM
NPI 1811366404
Nurse Practitioner - Family in Louisville, KY

Active since September 24, 2015PECOS Enrolled
401 E CHESTNUT ST UNIT 310, LOUISVILLE, KY 40202(502) 588-4600 Get Directions Write a Review

NPPES record last updated: September 24, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dawn Balcom NPPES

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

DAWN BALCOM (NPI 1811366404) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (30009692) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811366404
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDAWN BALCOM
Location Address401 E CHESTNUT ST UNIT 310Louisville, KY 40202-5703
Mailing Address6610 Shelburn DrCrestwood, KY 40014-8945 · (502) 744-7439
Phone(502) 588-4600
Sole ProprietorYes
Enumeration DateSeptember 24, 2015
✔ NPI 1811366404 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 KY · 30009692
401 E CHESTNUT ST UNIT 310, Louisville, KY 40202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dawn Balcom 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 Dawn Balcom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Louisville Research Foundation, Inc.
0.1 mi
Infectious Disease
550 S JACKSON ST, ACB 2ND FLOOR
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 27 clinicians in this Medicare group
NPI 1386835007 (502) 561-8844

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 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 20

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

BRAD STEVEN SUTTON MD
Internal Medicine (Cardiovascular Disease)
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Jefferson County (502) 588-4600
DR. RYAN MICHAEL KAUFMAN M.D.
Internal Medicine
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Jefferson County (502) 588-4720
ERIN MURPHY MD
Internal Medicine
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Jefferson County (502) 562-3000
CHARLENE KAY MITCHELL MD
Internal Medicine
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Jefferson County (502) 589-6788
DANIEL DIERFELDT D.O.
Family Medicine (Hospice and Palliative Medicine)
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Jefferson County (502) 589-6788
REBECCA WEI MEI JEUN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Jefferson County (502) 588-4600
ELIAS B HANNA MD
Internal Medicine (Interventional Cardiology)
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Jefferson County (502) 588-4600
LESLIE ANNE BEAVIN M.D.
Internal Medicine (Infectious Disease)
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Jefferson County (502) 588-4710

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 Dawn Balcom's NPI number?

The NPI number for Dawn Balcom is 1811366404. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Where is Dawn Balcom located?

Dawn Balcom practices at 401 E Chestnut St Unit 310, Louisville, KY 40202. The listed phone number is (502) 588-4600.

What is Dawn Balcom's specialty?

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

Is Dawn Balcom enrolled in Medicare?

Yes. Dawn Balcom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dawn Balcom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Balcom reassigns Medicare benefits to University Of Louisville Research Foundation, Inc. (Louisville, KY). 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 Dawn Balcom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Balcom accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Dawn Balcom 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 Dawn Balcom was last updated on September 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.