MW Wellness Xiii

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MW WELLNESS XIII

Practice address

2445 Country Place Blvd
New Port Richey, FL 34655-1102

Phone

(727) 420-6986

NPI assigned

Oct 1, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Ilene Balkcom

Title

Owner/ Operator

Phone

(727) 420-6986

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1033083258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 COUNTRY PLACE BLVD STE 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551102",
            "telephone_number": "727-420-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 COUNTRY PLACE BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551102",
            "telephone_number": "727-420-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MW WELLNESS XIII",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "BALKCOM",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ILENE",
        "authorized_official_title_or_position": "OWNER/ OPERATOR",
        "authorized_official_telephone_number": "727-420-6986"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.