Individual provider Active NPI

Victoria Sue Ball, N.P.

  • Adult Health Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1093996837
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704230298 Issued in MI
Practice address
3023 Davenport Ave
Saginaw, MI 48602-3652
Phone
(989) 907-2761
Fax
(989) 907-2762
NPI assigned
Nov 20, 2007
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704230298 MI Primary

Addresses

Primary practice location

3023 Davenport Ave
Saginaw, MI 48602-3652

Mailing address

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 759-6464

Other names 1

  • Miss Victoria Sue Pietras Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address victoria.ball@direct.medfusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140731002544 MI Practitioner - Nurse Practitioner 6507082211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Bay Health CentersGroup PAC ID 2466369046, 85 clinicians

Practice addresses (Care Compare)

1522 Janes Ave
Saginaw, MI 48601-1819
Phone (989) 755-0316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Health Clinic PC CurrentSince Jul 8, 2014 Accepting new patients
Delta Psychological & Neurobehavioral Services, LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

114 N Tuscola Rd
Bay City, MI 48708
Phone (989) 892-4303

3720 Katalin Ct
Bay City, MI 48706
Phone (989) 391-9223

204 W Buttles St
Midland, MI 48640

Interoperability endpoints

  • Direct secure messaging: victoria.ball.1@27771.direct.athenahealth.com
  • Direct secure messaging: victoria.ball@direct.medfusion.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1093996837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAPEER AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48607",
            "telephone_number": "989-759-6464",
            "fax_number": "989-399-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 DAVENPORT AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023652",
            "telephone_number": "989-907-2761",
            "fax_number": "989-907-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "VICTORIA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704230298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.ball@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "3023 Davenport Ave",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486023652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "PIETRAS",
            "middle_name": "SUE",
            "prefix": "MISS",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.