HEATHER BALLARD
NPI 1992634059
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Heather Ballard's NPI number?

The NPI number for Heather Ballard is 1992634059. It was assigned to this individual provider in the NPPES registry on May 15, 2026.

Q: What is Heather Ballard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heather Ballard was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 15, 2026PECOS EnrolledAccepts Medicare Assignment

15255 MAX LEGGETT PKWY STE 5500, JACKSONVILLE, FL 32218(904) 223-3321(904) 223-2169 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2026, May 15, 2026 (2 updates tracked since 2026).

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About Heather Ballard NPPES

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

HEATHER BALLARD (NPI 1992634059) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11047419) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1992634059

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEATHER BALLARD

Location Address15255 MAX LEGGETT PKWY STE 5500Jacksonville, FL 32218-7283

Mailing Address5191 First Coast Tech Pkwy Fl 3Jacksonville, FL 32224-0609 · (904) 223-3321 · Fax (904) 223-2169

Phone(904) 223-3321

Fax(904) 223-2169

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateMay 15, 2026

Last NPPES UpdateMay 29, 20262 updates tracked since enumeration

NPPES CertifiedMay 29, 2026

✔ NPI 1992634059 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 FL · APRN11047419

15255 MAX LEGGETT PKWY STE 5500, Jacksonville, FL 32218

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Secondary Practice Location 1

Location 12550 Park St Ste BJacksonville, FL 32204-4518 · Phone (904) 223-3321 · Fax (904) 223-2169

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Ballard 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 ID6406327626

PECOS Enrollment IDI20260608003758

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 Reassignment

Medicare enrollment records show Heather Ballard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jacksonville Spine Center PA

18 mi

Pain Medicine

5191 FIRST COAST TECH PKWY
Jacksonville, FL 32224

Reassigned Medicare billing, Florida enrollment
30 clinicians in this Medicare group

NPI 1881643757 (904) 223-3321

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 32218 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 8

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

MR. THOMAS MATTHEW MATTOX JR. PA-C

Physician Assistant