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MS. MONIQUE BALFOUR NP
NPI 1992242309
Nurse Practitioner - Psychiatric/Mental Health in Brockton, MA

Active since January 23, 2017PECOS Enrolled
34 N PEARL ST, BROCKTON, MA 02301(857) 397-2009 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2026, Jan 12, 2026, Dec 30, 2020 and 5 more (8 updates tracked since 2017).

About Ms. Monique Balfour Np NPPES

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

MS. MONIQUE BALFOUR NP (NPI 1992242309) is an individual psychiatric/mental health provider in Brockton, Massachusetts, licensed in Massachusetts (RN2280851) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hyde Park.

NPPES Registry Identity

NPI1992242309
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. MONIQUE BALFOURCredential: NP
Location Address34 N PEARL STBrockton, MA 02301-1708
Mailing Address34 N Pearl StBrockton, MA 02301-1708 · (508) 408-9200
Phone(857) 397-2009
Sole ProprietorYes
Enumeration DateJanuary 23, 2017
Last NPPES UpdateMarch 30, 20268 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1992242309 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 MA · RN2280851
34 N PEARL ST, Brockton, MA 02301
Open in Google Maps ↗

Secondary Practice Location 1

Location 111 Fairmount Ave Ste 109Hyde Park, MA 02136-2777 · Phone (857) 397-2009 · Fax (857) 999-3911

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health 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)

Ms. Monique Balfour Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Monique Balfour reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Myora Integrated Health And Psychiatry PLLC
12 mi
Psychiatric/Mental Health
11 FAIRMOUNT AVE, SUITE 109
Hyde Park, MA 02136
  • Reassigned Medicare billing, Massachusetts enrollment
NPI 1902750284 (617) 300-7176
Boston University Psychiatry Associates, Inc.
17 mi
Psychiatry
1 BOSTON MEDICAL CTR PL
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 193 clinicians in this Medicare group
NPI 1073619854 (617) 414-5245
Evans Medical Foundation, Inc.
17 mi
Internal Medicine
1 BOSTON MEDICAL CTR PL
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 573 clinicians in this Medicare group
NPI 1912954124 (617) 358-3510

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 02301 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

BOSTON MEDICAL CENTER - SOUTH CORPORATION
General Acute Care Hospital
34 N PEARL ST
BROCKTON, MA 02301
Plymouth County (508) 408-9200
BOSTON MEDICAL CENTER CORPORATION
Psychiatric Unit
34 N PEARL ST
BROCKTON, MA 02301
Plymouth County (617) 414-5393
JARED K. TROUT MD
Psychiatry & Neurology (Psychiatry)
34 N PEARL ST
BROCKTON, MA 02301
Plymouth County (508) 408-9200
LYNDA CRIPPS NP
Nurse Practitioner (Gerontology)
34 N PEARL ST
BROCKTON, MA 02301
Plymouth County (508) 408-9200
DIANDRA AUDREY AJEMIAN MS, RD, LDN
Dietitian, Registered
34 N PEARL ST
BROCKTON, MA 02301
Plymouth County (857) 275-9745
JEREMY CASTRO DO
Psychiatry & Neurology (Psychiatry)
34 N PEARL ST
BROCKTON, MA 02301
Plymouth County (508) 408-9200
WEI FONG OT, MSOT, OTR
Occupational Therapist
34 N PEARL ST
BROCKTON, MA 02301
Plymouth County (508) 408-9200
KELLEY SWEENEY LCSW
Social Worker (Clinical)
34 N PEARL ST
BROCKTON, MA 02301
Plymouth County (508) 408-9200

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 Monique Balfour's NPI number?

The NPI number for Monique Balfour is 1992242309. It was assigned to this individual provider in the NPPES registry on January 23, 2017.

Where is Monique Balfour located?

Monique Balfour practices at 34 N Pearl St, Brockton, MA 02301. The listed phone number is (857) 397-2009.

What is Monique Balfour's specialty?

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

Is Monique Balfour enrolled in Medicare?

Yes. Monique Balfour is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Monique Balfour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monique Balfour reassigns Medicare benefits to 3 organizations: Myora Integrated Health And Psychiatry PLLC (Hyde Park, MA), Boston University Psychiatry Associates, Inc. (Boston, MA) and Evans Medical Foundation, Inc. (Boston, MA). 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 Monique Balfour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monique Balfour accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health and WellSense Health Plan list Monique Balfour 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 Monique Balfour was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.