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

Q: 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.

Q: What is Dawn Balcom's specialty?

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

Q: 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 10 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.

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: August 02, 2026.

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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

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Accepted Insurance

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

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)