Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RONA BALICAS DIVINAGRACIA APRN, PMHNP-BC, CCM
NPI 1932854213
Nurse Practitioner - Psychiatric/Mental Health in Port Orchard, WA

Active since February 15, 2022PECOS Enrolled
1400 POTTERY AVE, PORT ORCHARD, WA 98366(360) 895-5000(360) 782-1701 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 24, 2026, Feb 15, 2022 (2 updates tracked since 2022).

About Rona Balicas Divinagracia Aprn, Pmhnp-bc, Ccm NPPES

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

RONA BALICAS DIVINAGRACIA APRN, PMHNP-BC, CCM (NPI 1932854213) is an individual psychiatric/mental health provider in Port Orchard, Washington, licensed in Washington (AP61575192) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1932854213
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameRONA BALICAS DIVINAGRACIACredential: APRN, PMHNP-BC, CCM
Location Address1400 POTTERY AVEPort Orchard, WA 98366-3711
Mailing Address1400 Pottery AvePort Orchard, WA 98366-3768 · (360) 895-5000 · Fax (877) 516-9023
Fax(360) 782-1701
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 15, 2022
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
NPI 1932854213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in WA · AP61575192 Licensed in NV · 867980
Also ListedRegistered NurseTaxonomy 163W00000X · License RN85093 (NV)
1400 POTTERY AVE, Port Orchard, WA 98366

Other Names 1

Former Name (1)Rona S Balicas

Secondary Practice Location 1

Location 15580 W Flamingo RdLas Vegas, NV 89103-0111 · Phone (702) 945-8761 · Fax (702) 866-9924

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

Rona Balicas Divinagracia Aprn, Pmhnp-bc, Ccm 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 ID3375075856
PECOS Enrollment IDI20241022003819
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98366 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 20

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

Clinic/Center (Multi-Specialty)
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Nurse Practitioner (Family)
1400 POTTERY AVE, OC MED
PORT ORCHARD, WA 98366
Family Medicine
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Pediatrics
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Counselor (Mental Health)
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Pediatrics
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Pharmacist
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Family Medicine
1400 POTTERY AVE
PORT ORCHARD, WA 98366

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 Rona Divinagracia's NPI number?

The NPI number for Rona Divinagracia is 1932854213. It was assigned to this individual provider in the NPPES registry on February 15, 2022. The provider is also known as Rona S Balicas.

Where is Rona Divinagracia located?

Rona Divinagracia practices at 1400 Pottery Ave, Port Orchard, WA 98366. The listed phone number is (360) 895-5000.

What is Rona Divinagracia's specialty?

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

Is Rona Divinagracia enrolled in Medicare?

Yes. Rona Divinagracia 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.

When was this NPI record last updated?

The NPPES record for Rona Divinagracia was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.