Individual provider Active NPI

Christina Angelic Balling

  • Primary Care Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1124554019
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024174778 Issued in VA
Practice address
611 Jefferson Davis Hwy Ste 201
Fredericksburg, VA 22401-8402
Phone
(540) 371-4141
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024174778 VA Primary

Addresses

Primary practice location

611 Jefferson Davis Hwy Ste 201
Fredericksburg, VA 22401-8402

Mailing address

611 Jefferson Davis Hwy Ste 201
Fredericksburg, VA 22401-8402
Phone (540) 371-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20171108002893 VA Practitioner - Nurse Practitioner 5597021451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary and Urgent Care LLCGroup PAC ID 6305836784, 9 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

2306 Plank Rd
Suite 100
Fredericksburg, VA 22401-4902
Phone (540) 785-9900

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9801 Patriot Hwy
Fredericksburg, VA 22407-9422
Phone (703) 348-9111

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as group
Quality
62.61
Improvement activities
40
Cost
78.01

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary and Urgent Care LLC CurrentSince Oct 1, 2019 Accepting new patients

Locations

2306 Plank Rd
Ste 100
Fredericksburg, VA 22401
Phone (540) 785-9900

10009 Southpoint Pkwy
Ste 200
Fredericksburg, VA 22407
Phone (540) 288-9888

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1124554019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 JEFFERSON DAVIS HWY STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018402",
            "telephone_number": "540-371-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 JEFFERSON DAVIS HWY STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018402",
            "telephone_number": "540-371-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLING",
        "first_name": "CHRISTINA",
        "middle_name": "ANGELIC",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024174778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.