Alicia Irene Balderas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1616 S Kentucky St Ste B100
Amarillo, TX 79102-2224

Phone

(806) 355-8900

NPI assigned

Nov 4, 2010

Last updated

Nov 13, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dallam-Hartley Counties Hospital DistrictGroup PAC ID 0143112805, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Health Home health agency, Amarillo, TX, CCN 457754
• Coon Memorial Hospital Hospital, Dalhart, TX, CCN 451331

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Dallam-Hartley Counties Hospital District

  dba Coon Memorial Hospital

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1245353747

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Amarillo Urgent Care LLC

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1881895050
  Medicare reassignment
• Dallam-Hartley Counties Hospital District

  dba Coon Memorial Hospital

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1639176456
  Medicare reassignment
• Dallam-Hartley Counties Hospital District

  dba Dalhart EMS

  • Land Ambulance
  • Dalhart, TX
  • NPI 1689032856
  NPD
• Amarillo Primary Care PLLC

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1447761267
  NPD (past)
• Dallam-Hartley Counties Hospital District

  dba Coon Memorial Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Dalhart, TX
  • NPI 1205841160
  NPD (past)
• FMC LTC Aco LLC

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1942048053
  NPD (past)
• High Country Community Rural Health Clinic

  • Medical Physician Assistant
  • Dalhart, TX
  • NPI 1699943191
  NPD (past)
• High Country Community Rural Health Clinic, LLC

  • Clinic/Center
  • Dalhart, TX
  • NPI 1841241312
  NPD (past)

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

• Dallam-Hartley Counties Hospital District

  dba Coon Memorial Hospital

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1639176456
  Care Compare affiliation
• Kindstar, Inc.

  dba AccentCare Health

  • Home Health Agency
  • Amarillo, TX
  • NPI 1396741047
  Care Compare affiliation

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1134420367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E 16TH ST",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790224802",
            "telephone_number": "806-244-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 S KENTUCKY ST STE B100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022224",
            "telephone_number": "806-355-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERAS",
        "first_name": "ALICIA",
        "middle_name": "IRENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "PA07004",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rustin Baker, MSN, NP-C
• Sandra Jo Baker, MED LPC
• Teresa Baker, MD
• Bal 4 Eyes Inc
• Jumana Baldawi, MD.
• Consuelo Gamez Balderaz, LMSW
• Morgan Baldridge, OTR
• Vicki M. Baldwin, R.D.
• Rushil Balkundi
• Martha Ball, CRNP

• Physician Assistant in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.