HEATHER BALLARD - NPI 1992634059 - Nurse Practitioner 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 2 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.

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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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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