GINA BALGOYEN APRN
NPI 1891206983
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Gina Balgoyen's NPI number?

The NPI number for Gina Balgoyen is 1891206983. It was assigned to this individual provider in the NPPES registry on October 17, 2017.

Q: What is Gina Balgoyen'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 Gina Balgoyen was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 October 17, 2017PECOS EnrolledAccepts Medicare Assignment

732 S 6TH ST STE 8080, LAS VEGAS, NV 89101(702) 688-2500(725) 238-1683 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2026, Jul 23, 2024, Feb 13, 2023 and 2 more (5 updates tracked since 2017).

On this page

About Gina Balgoyen Aprn NPPES

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

GINA BALGOYEN APRN (NPI 1891206983) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (APRN002688) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1891206983

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGINA BALGOYENCredential: APRN

Location Address732 S 6TH ST STE 8080Las Vegas, NV 89101-6948

Mailing Address732 S 6th St Ste 8080Las Vegas, NV 89101-6948 · (702) 688-2507 · Fax (725) 238-1683

Phone(702) 688-2500

Fax(725) 238-1683

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 17, 2017

Last NPPES UpdateMay 18, 20265 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1891206983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NV · APRN002688

Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License APRN002688 (NV)

732 S 6TH ST STE 8080, Las Vegas, NV 89101

Open in Google Maps ↗

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

Gina Balgoyen Aprn 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 ID9931466190

PECOS Enrollment IDI20171127002401

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

Medicare enrollment records show Gina Balgoyen reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trucare Medical Group PLLC

1.5 mi

Primary Care

801 S RANCHO DR STE B2
Las Vegas, NV 89106

Reassigned Medicare billing, Nevada enrollment
3 clinicians in this Medicare group

NPI 1598615643 (702) 580-7997

Puso, LLC

2.2 mi

Cardiovascular Disease

801 S RANCHO DR STE A2
Las Vegas, NV 89106

Reassigned Medicare billing, Nevada enrollment
9 clinicians in this Medicare group

NPI 1083987630 (702) 483-3630

Snf Doctors Of Henderson, Inc

2.2 mi

Internal Medicine

2500 W WASHINGTON AVE
Las Vegas, NV 89106

Reassigned Medicare billing, Nevada enrollment
9 clinicians in this Medicare group

NPI 1528552379 (702) 902-0301

Pioneer Health Care LLC

2.7 mi

Internal Medicine

3540 W SAHARA AVE, SUITE 330
Las Vegas, NV 89102

Reassigned Medicare billing, Nevada enrollment
56 clinicians in this Medicare group

NPI 1588681332 (702) 921-6823

Infectious Disease Specialists, LLC

5.6 mi

Infectious Disease

6867 W CHARLESTON BLVD STE B
Las Vegas, NV 89117

Reassigned Medicare billing, Nevada enrollment
9 clinicians in this Medicare group

NPI 1558427526 (702) 396-4165

Nevada Acute Medical Services-Scherr 1 PC

6.6 mi

Hospitalist

2500 N TENAYA WAY
Las Vegas, NV 89128

Reassigned Medicare billing, Nevada enrollment
156 clinicians in this Medicare group

NPI 1992244438 (865) 693-1000

Sabir & Associates Inc

7.2 mi

Internal Medicine

5400 S RAINBOW BLVD
Las Vegas, NV 89118

Reassigned Medicare billing, Nevada enrollment
5 clinicians in this Medicare group

NPI 1629183751 (702) 921-6823

Arcadian LLC

9.9 mi

Nurse Practitioner

5550 S FORT APACHE RD STE 103
Las Vegas, NV 89148

Reassigned Medicare billing, Nevada enrollment
12 clinicians in this Medicare group

NPI 1285402164 (702) 889-0100

Naz Wahab MD PC

10 mi

Family Medicine

6070 S FORT APACHE RD STE 100
Las Vegas, NV 89148

Reassigned Medicare billing, Nevada enrollment
18 clinicians in this Medicare group

NPI 1568514198 (702) 803-5534

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 12

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

107 services49 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

101 services35 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

62 services35 patients

Therapy procedure using ultrasound 97610

Ultrasound therapy is a treatment used to heal and relieve pain. It involves using sound waves to stimulate body tissues, promoting healing and reducing inflammation. It's non-invasive, painless, and typically used for muscle, ligament injuries, or chronic pain.

51 services16 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

37 services22 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

36 services22 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

36 services21 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

35 services16 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

34 services16 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

16 services15 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

16 services16 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89101 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%92 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

MEKENI, LLC

Nurse Practitioner (Family)

732 S 6TH ST STE 8080
LAS VEGAS, NV 89101

Clark County (702) 688-2507

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 Gina Balgoyen's NPI number?

The NPI number for Gina Balgoyen is 1891206983. It was assigned to this individual provider in the NPPES registry on October 17, 2017.

Where is Gina Balgoyen located?

Gina Balgoyen practices at 732 S 6th St Ste 8080, Las Vegas, NV 89101. The listed phone number is (702) 688-2500.

What is Gina Balgoyen's specialty?

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

Is Gina Balgoyen enrolled in Medicare?

Yes. Gina Balgoyen 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 Gina Balgoyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Balgoyen reassigns Medicare benefits to 9 organizations: Trucare Medical Group PLLC (Las Vegas, NV), Puso, LLC (Las Vegas, NV), Snf Doctors Of Henderson, Inc (Las Vegas, NV), Pioneer Health Care LLC (Las Vegas, NV), Infectious Disease Specialists, LLC (Las Vegas, NV) and 4 more organizations, listed in the Medicare section above. 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 Gina Balgoyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gina Balgoyen was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.