Lori Paige Balchik, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209023988 Issued in IL

Practice address

6702 Godfrey Rd
Godfrey, IL 62035-2205

Phone

(618) 467-1520

NPI assigned

Oct 15, 2019

Last updated

May 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Osf Healthcare System

  • Certified Registered Nurse Anesthetist
  • Monmouth, IL
  • NPI 1811016124
  Medicare reassignment NPD
• SSM Cardinal Glennon Childrens Hospital

  dba SSM Health Cardinal Glennon Children's Hospital

  • Pediatrics Physician
  • O'Fallon, IL
  • NPI 1174577670

  MO

  Medicare reassignment NPD
• Osf Healthcare System

  dba OSF Saint Katharine Medical Center

  • General Acute Care Hospital
  • Dixon, IL
  • NPI 1508683590
  NPD
• Osf Healthcare System

  dba Osf Healthcare - Medical Group - Godfrey

  • Rural Health Clinic/Center
  • Godfrey, IL
  • NPI 1861041980
  NPD
• SSM Cardinal Glennon Children's Hospital

  dba SSM Health Cardinal Glennon Pediatrics

  • Pediatrics Physician
  • Warrenton, MO
  • NPI 1962573212
  NPD
• SSM Cardinal Glennon Childrens Hospital

  dba SSM Health Cardinal Glennon Pediatrics

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1073568226
  NPD
• Osf Healthcare System

  dba OSF Healthcare Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Rockford, IL
  • NPI 1013925593
  NPD (past)

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1063054716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 GODFREY RD",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620352205",
            "telephone_number": "618-467-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 GODFREY RD",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620352205",
            "telephone_number": "618-467-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCHIK",
        "first_name": "LORI",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209023988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Trisha Admire
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• Anna R. Smith DMD, PC (Dentistry with TLC)
• Kymberly Barnard, M. S., CCC-SLP
• Leanne Beasley, DO
• Sarah Ann Becker, FNP-BC
• Cara Lynn Bernaix
• Ashley Berry

• Pediatric Nurse Practitioner in Godfrey, IL
• Providers in Godfrey, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.