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THANDIWE J BALLARD CNP
NPI 1902662794
Nurse Practitioner - Psychiatric/Mental Health in Dayton, OH

Active since February 28, 2024PECOS Enrolled
2555 S DIXIE DR STE 260A, DAYTON, OH 45409(937) 350-1640(937) 530-4194 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thandiwe J Ballard Cnp NPPES

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

THANDIWE J BALLARD CNP (NPI 1902662794) is an individual psychiatric/mental health provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.0035847) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1902662794
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTHANDIWE J BALLARDCredential: CNP
Location Address2555 S DIXIE DR STE 260ADayton, OH 45409-1542
Mailing Address5676 Bellefontaine RdHuber Heights, OH 45424-4135 · (937) 813-0060 · Fax (937) 530-4194
Phone(937) 350-1640
Fax(937) 530-4194
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 28, 2024
Last NPPES UpdateJanuary 6, 2026
NPPES CertifiedJanuary 6, 2026
✔ NPI 1902662794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0035847
2555 S DIXIE DR STE 260A, Dayton, OH 45409
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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 (PECOS)

Thandiwe J Ballard Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305284852
PECOS Enrollment IDI20240403003155
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

4

Medicare enrollment records show Thandiwe Ballard reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elohim Mental Health Associates
Same address
Psychiatric/Mental Health
2555 S DIXIE DR STE 260A
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
NPI 1548055932 (937) 350-1640
Viaquest Psychiatric & Behavioral Solutions LLC
62 mi
Case Manager/Care Coordinator
525 METRO PL N STE 300
Dublin, OH 43017
  • Reassigned Medicare billing, Ohio enrollment
  • 200 clinicians in this Medicare group
NPI 1386155711 (614) 339-8436
Brighter Day Oh LLC
66 mi
Professional
21 E STATE ST STE 200
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 39 clinicians in this Medicare group
NPI 1780449140 (203) 568-6065
Eagle Healthworks LLC
96 mi
Addiction (Substance Use Disorder)
14882 STATE ROUTE 13
Thornville, OH 43076
  • Reassigned Medicare billing, Ohio enrollment
  • 11 clinicians in this Medicare group
NPI 1881248359 (740) 688-6588

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 5

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.

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.
458 services139 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
60 services60 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
32 services32 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
24 services24 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES

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

ELOHIM MENTAL HEALTH ASSOCIATES
Nurse Practitioner (Psychiatric/Mental Health)
2555 S DIXIE DR STE 260A
DAYTON, OH 45409
Montgomery County (937) 350-1640

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 Thandiwe Ballard's NPI number?

The NPI number for Thandiwe Ballard is 1902662794. It was assigned to this individual provider in the NPPES registry on February 28, 2024.

Where is Thandiwe Ballard located?

Thandiwe Ballard practices at 2555 S Dixie Dr Ste 260A, Dayton, OH 45409. The listed phone number is (937) 350-1640.

What is Thandiwe Ballard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Thandiwe Ballard enrolled in Medicare?

Yes. Thandiwe Ballard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thandiwe Ballard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thandiwe Ballard reassigns Medicare benefits to 4 organizations: Elohim Mental Health Associates (Dayton, OH), Viaquest Psychiatric & Behavioral Solutions LLC (Dublin, OH), Brighter Day Oh LLC (Columbus, OH) and Eagle Healthworks LLC (Thornville, OH). 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 Thandiwe Ballard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thandiwe Ballard accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Oscar Health Insurance and 2 other insurers list Thandiwe Ballard 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 Thandiwe Ballard was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.