ANDREA MARIE BALSIMO FNP
NPI 1912352188
Nurse Practitioner - Family in Post Falls, ID

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
1551 E MULLAN AVE STE 102, POST FALLS, ID 83854(208) 262-2328(208) 619-5057 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2024, Jan 6, 2023, Aug 11, 2022 and 3 more (6 updates tracked since 2018).

About Andrea Marie Balsimo Fnp NPPES

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

ANDREA MARIE BALSIMO FNP (NPI 1912352188) is an individual family provider in Post Falls, Idaho, licensed in Idaho (70663) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912352188
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA MARIE BALSIMOCredential: FNP
Location Address1551 E MULLAN AVE STE 102Post Falls, ID 83854-9005
Mailing Address1593 E Polston AvePost Falls, ID 83854-5326 · (208) 262-2300 · Fax (208) 262-2390
Fax(208) 619-5057
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 25, 2016
Last NPPES UpdateAugust 22, 20246 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
NPI 1912352188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ID · 70663
1551 E MULLAN AVE STE 102, Post Falls, ID 83854

Other Names 1

Former Name (1)Andrea Marie Carlson

Other Identifiers 1

Medicaid1912352188ID

Accepted 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

Andrea Marie Balsimo Fnp 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 ID345522819
PECOS Enrollment IDI20220523000677
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
117 services88 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
71 services49 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
62 services62 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
59 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Northwest Specialty Hospital

Acute Care Hospitals · Post Falls, ID
OwnershipProprietary
CMS Certification Number130066
Location1593 East Polston AvenuePost Falls, ID 83854 · Kootenai County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83854 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 7

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

Physician Assistant
1551 E MULLAN AVE STE 102
POST FALLS, ID 83854
Hospitalist
1551 E MULLAN AVE STE 102
POST FALLS, ID 83854
Nurse Practitioner
1551 E MULLAN AVE STE 102
POST FALLS, ID 83854
Physical Therapist
1551 E MULLAN AVE STE 102
POST FALLS, ID 83854
Hospitalist
1551 E MULLAN AVE STE 102
POST FALLS, ID 83854
Physician Assistant
1551 E MULLAN AVE STE 102
POST FALLS, ID 83854
Physician Assistant
1551 E MULLAN AVE STE 102
POST FALLS, ID 83854

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 Andrea Balsimo's NPI number?

The NPI number for Andrea Balsimo is 1912352188. It was assigned to this individual provider in the NPPES registry on April 25, 2016. The provider is also known as Andrea Marie Carlson.

Where is Andrea Balsimo located?

Andrea Balsimo practices at 1551 E Mullan Ave Ste 102, Post Falls, ID 83854. The listed phone number is (208) 262-2328.

What is Andrea Balsimo's specialty?

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

Is Andrea Balsimo enrolled in Medicare?

Yes. Andrea Balsimo 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 Andrea Balsimo accept?

Health plans from Providence Health Plan list Andrea Balsimo 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 Andrea Balsimo affiliated with any hospitals?

According to CMS data, Andrea Balsimo is affiliated with Kootenai Health and Northwest Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Balsimo was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.