ELISE VICTORIA BALASA MSN, CPNP-PC
NPI 1902634702
Nurse Practitioner - Primary Care in Fort Worth, TX
About Elise Victoria Balasa Msn, Cpnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE VICTORIA BALASA MSN, CPNP-PC (NPI 1902634702) is an individual primary care provider in Fort Worth, Texas, licensed in Texas (1169378) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elise Victoria Balasa Msn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Elise Balasa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Cook Childrens Physician Network
- 1,186 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 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.
FORT WORTH, TX 76104
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 Elise Balasa's NPI number?
The NPI number for Elise Balasa is 1902634702. It was assigned to this individual provider in the NPPES registry on July 23, 2024.
Where is Elise Balasa located?
Elise Balasa practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-4095.
What is Elise Balasa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Elise Balasa enrolled in Medicare?
Yes. Elise Balasa is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Elise Balasa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elise Balasa reassigns Medicare benefits to 2 organizations: Cook Children's Physician Network (Fort Worth, TX) and Texas Children's Physician Group (Houston, TX). 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 Elise Balasa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elise Balasa accept?
Health plans from Imperial Insurance Companies, Inc. and Moda Health Plan, Inc. list Elise Balasa 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 Elise Balasa was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Elise Victoria Balasa, MSN, CPNP-PC · NPI 1902634702
Primary Care physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since July 23, 2024.
## Identity
- **NPI:** 1902634702 (Entity type: Individual)
- **Enumerated:** July 23, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 1169378 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 7TH AVE, Fort Worth, TX 76104-2733
- **Phone:** (682) 885-4095 · **Fax:** (682) 885-7499
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cook Children's Physician Network (NPI 1083472062, Fort Worth, TX); Texas Children's Physician Group (NPI 1861675506, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902634702) · Data from the CMS NPPES public registry.