Alyssa Lauren Ballestero, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5016065 Issued in NC

Practice address

2325 Stantonsburg Rd
Greenville, NC 27834-7534

Phone

(252) 847-1550

NPI assigned

Apr 13, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aballestero380356@direct.vidanthealth.com

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.

• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731

  NC

  Medicare reassignment Care Compare group NPD
• Proactive Therapy of North Carolina Inc

  • Physical Therapy Clinic/Center
  • Marion, NC
  • NPI 1013912732
  Care Compare group
• Proactive Therapy of North Carolina Inc

  • Physical Therapy Clinic/Center
  • Wilson, NC
  • NPI 1477559771
  Care Compare group
• Proactive Therapy of North Carolina Inc

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1568468502
  Care Compare group
• Proactive Therapy of North Carolina Inc

  • Physical Therapy Clinic/Center
  • Raleigh, NC
  • NPI 1689679433
  Care Compare group
• Proactive Therapy of North Carolina Inc

  • Rehabilitation Clinic/Center
  • Ahoskie, NC
  • NPI 1902405178
  Care Compare group
• Vidant Medical Group LLC

  • Ambulatory Surgical Clinic/Center
  • Kinston, NC
  • NPI 1376049619
  Care Compare group
• Vidant Medical Group, LLC

  • Cardiac Rehabilitation Clinic/Center
  • Roanoke Rapids, NC
  • NPI 1750125035
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pitt County Memorial Hospital Inc

  • General Acute Care Hospital
  • Washington, NC
  • NPI 1780359687

  Hospital

  Care Compare affiliation
• Pitt County Memorial Hospital, Inc

  • General Acute Care Hospital
  • Greenville, NC
  • NPI 1043218944

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Therapy of North Carolina Inc 540 clinicians

Vidant Medical Group LLC 986 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

Merit-based Incentive Payment System (MIPS)

Final score

96.95 of 100Reported as apm

Quality

82.44

Promoting interoperability

100

Improvement activities

40

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1124761689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347534",
            "telephone_number": "252-847-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347534",
            "telephone_number": "252-847-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTERO",
        "first_name": "ALYSSA",
        "middle_name": "LAUREN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aballestero380356@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicollette Arielle Baldwin, DO
• Christopher Randell Ball
• Randall Neal Ball, DDS
• Somasekhara R Balla, MD
• William A Ballance Jr., M.D.
• Maria Isabel Baltar de Barros Rego, DMD
• Richard J Baltaro, M.D.
• Renee Marie Banaszak, MD
• Kimberly Ann Bancale, M.S. CCC SLP
• Amanda Bandy

• All providers in Greenville, NC
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.