BEATRIC E BALSAMO PA
NPI 1871638403
Physician Assistant - Medical in Taos, NM

Active since February 21, 2007PECOS Enrolled
1399 WEIMER RD STE 200, NDCBU BOX 5775, TAOS, NM 87571(505) 758-2224(505) 758-4903 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Beatric E Balsamo Pa NPPES

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

BEATRIC E BALSAMO PA (NPI 1871638403) is an individual medical provider in Taos, New Mexico, licensed in New Mexico (83PA001) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871638403
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBEATRIC E BALSAMOCredential: PA
Location Address1399 WEIMER RD STE 200, NDCBU BOX 5775Taos, NM 87571-6349
Mailing AddressPo Box 933Ranchos De Taos, NM 87557-0933 · (505) 758-0137
Fax(505) 758-4903
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1871638403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NM · 83PA001
1399 WEIMER RD STE 200, Taos, NM 87571

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Beatric E Balsamo Pa 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.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1399 WEIMER RD STE 200
TAOS, NM 87571
Internal Medicine
1399 WEIMER RD STE 200
TAOS, NM 87571

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871638403, enumerated as an "individual" on February 21, 2007.

The provider is located at 1399 WEIMER RD STE 200 NDCBU BOX 5775 TAOS, NM 87571 and the phone number is (505) 758-2224.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.