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WILMA DIANE BALIEM CRNP
NPI 1871706978
Nurse Practitioner in Mobile, AL

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1660 SPRINGHILL AVENUE, MOBILE, AL 36640(251) 665-8000(251) 665-8010 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wilma Diane Baliem Crnp NPPES

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

WILMA DIANE BALIEM CRNP (NPI 1871706978) is an individual nurse practitioner in Mobile, Alabama, licensed in Alabama (1-046774) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1871706978
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameWILMA DIANE BALIEMCredential: CRNP
Location Address1660 SPRINGHILL AVENUEMobile, AL 36640-0430
Mailing AddressPo Box 40430Mobile, AL 36640-0430 · (251) 665-8000 · Fax (251) 665-8010
Phone(251) 665-8000
Fax(251) 665-8010
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMay 7, 2007
Last NPPES UpdateJune 3, 2015
✔ NPI 1871706978 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 AL · 1-046774
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.
1660 SPRINGHILL AVENUE, Mobile, AL 36640
Open in Google Maps ↗

Other Identifiers 6

Other51542600AL · Bcbs - Hsf
Medicare PIN051559783AL
Medicaid308566000FL
Other051544202AL · Bcbs - 1660 Springhill Ave
Medicaid00985524MS
Medicaid891017418AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wilma Diane Baliem Crnp 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 ID2860584828
PECOS Enrollment IDI20070822000629
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 Reassignments

3

Medicare enrollment records show Wilma Baliem reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Usa Health - Mci Business Services LLC
Same address
Medical Oncology
1660 SPRING HILL AVE
Mobile, AL 36604
  • Reassigned Medicare billing, Alabama enrollment
  • 28 clinicians in this Medicare group
NPI 1215600820 (251) 665-8000
University Of South Alabama
1.4 mi
Clinical Medical Laboratory
2451 UNIVERSITY HOSPITAL DR
Mobile, AL 36617
  • Reassigned Medicare billing, Alabama enrollment
  • 394 clinicians in this Medicare group
NPI 1497859052 (251) 471-7000
Monroe County Health Care Authority
71 mi
Critical Access
2016 S ALABAMA AVE
Monroeville, AL 36460
  • Reassigned Medicare billing, Alabama enrollment
  • 21 clinicians in this Medicare group
NPI 1457392904 (251) 575-3111

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services17 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36640 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.05
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$25.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Wilma Baliem's NPI number?

The NPI number for Wilma Baliem is 1871706978. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Wilma Baliem located?

Wilma Baliem practices at 1660 Springhill Avenue, Mobile, AL 36640. The listed phone number is (251) 665-8000.

What is Wilma Baliem's specialty?

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

Is Wilma Baliem enrolled in Medicare?

Yes. Wilma Baliem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Wilma Baliem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilma Baliem reassigns Medicare benefits to 3 organizations: Usa Health - Mci Business Services LLC (Mobile, AL), University Of South Alabama (Mobile, AL) and Monroe County Health Care Authority (Monroeville, AL). Each 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 Wilma Baliem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wilma Baliem accept?

Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Wilma Baliem 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 Wilma Baliem was last updated on June 3, 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.