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

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: August 02, 2026.

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

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 ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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
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.
36 services22 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.

What insurance does Gina Balgoyen accept?

Health plans from Ambetter from Arizona Complete Health list Gina Balgoyen 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 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 2 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.