CORY BALKO CRNP
NPI 1891341673
Nurse Practitioner - Family in Wilkes Barre, PA
About Cory Balko Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORY BALKO CRNP (NPI 1891341673) is an individual family provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (SP020687) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and maintains a secondary practice location in East Stroudsburg.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted 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
Cory Balko 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.
Medicare Billing Reassignments
3Medicare enrollment records show Cory Balko reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilkes Barre, PA 18711
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Pittston, PA 18640
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 500 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger-Community Medical Center
Acute Care Hospitals · Scranton, PALehigh Valley Hospital - Pocono
Acute Care Hospitals · East Stroudsburg, PAGeisinger Wyoming Valley Medical Center
Acute Care Hospitals · Wilkes Barre, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WILKES BARRE, PA 18711
WILKES BARRE, PA 18711
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 Cory Balko's NPI number?
The NPI number for Cory Balko is 1891341673. It was assigned to this individual provider in the NPPES registry on August 16, 2019.
Where is Cory Balko located?
Cory Balko practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-6114.
What is Cory Balko's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Cory Balko enrolled in Medicare?
Yes. Cory Balko 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 Cory Balko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cory Balko reassigns Medicare benefits to 3 organizations: Geisinger Clinic (Wilkes Barre, PA), Lehigh Valley Physician Group (Pittston, PA) and Family Care Centers Inc (East Stroudsburg, PA). 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 Cory Balko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cory Balko accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Cory Balko 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.
Is Cory Balko affiliated with any hospitals?
According to CMS data, Cory Balko is affiliated with Geisinger-Community Medical Center, Lehigh Valley Hospital - Pocono and Geisinger Wyoming Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Cory Balko was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Cory Balko, CRNP · NPI 1891341673
Family physician in Wilkes Barre, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 16, 2019.
## Identity
- **NPI:** 1891341673 (Entity type: Individual)
- **Enumerated:** August 16, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP020687 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711-0027
- **Phone:** (570) 808-6114 · **Fax:** (570) 808-6362
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Geisinger Clinic (NPI 1366492902, Wilkes Barre, PA); Lehigh Valley Physician Group (NPI 1528708781, Pittston, PA); Family Care Centers Inc (NPI 1316409626, East Stroudsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1891341673) · Data from the CMS NPPES public registry.