Individual provider Active NPI

Doraelia Quiroz Balderas, FNP-BC

  • Family Nurse Practitioner
  • Rocky Ford, CO
National Provider Identifier
1184445405
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1000688 Issued in CO
Practice address
902 Lowell Dr
Rocky Ford, CO 81067-2104
Phone
(830) 719-8219
Fax
(719) 697-1758
NPI assigned
Oct 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1000688 CO Primary
Registered Nurse 163W00000X 0185371 CO

Addresses

Primary practice location

902 Lowell Dr
Rocky Ford, CO 81067-2104

Mailing address

902 Lowell Dr
Rocky Ford, CO 81067-2104
Phone (830) 719-8219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250529002245 CO Practitioner - Nurse Practitioner 1658559521 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lykos Medical LLC 19 clinicians
MWS Wound Solutions LLC 5 clinicians

Practice addresses (Care Compare)

595 Chapel Hills Dr
Suite 303
Colorado Springs, CO 80920-1057
Phone (719) 434-8810

595 Chapel Hills Dr
Suite 303B
Colorado Springs, CO 80920-1022
Phone (719) 922-1002

Hospital & facility affiliations

  • Prowers Medical Center Hospital, Lamar, CO, CCN 061323
  • Arkansas Valley Regional Medical Center Hospital, Lajuna, CO, CCN 061336
  • Lamar Estates Nursing Center Nursing home, Lamar, CO, CCN 065294

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0185371COMDRegistered Nurse
1000688COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MWS Wound Solutions LLC Single Specialty CurrentSince Jan 26, 2026 Accepting new patients
Lykos Medical LLC Single Specialty CurrentSince Apr 26, 2025 Accepting new patients
Balderas LLC. Single Specialty CurrentSince Jul 28, 2025 Accepting new patients

Locations

595 Chapel Hills Dr
Ste 303
Colorado Springs, CO 80920
Phone (719) 574-0310

7610 N Union Blvd
Ste 150
Colorado Springs, CO 80920
Phone (719) 434-8810

595 Chapel Hills Dr
Ste 303A
Colorado Springs, CO 80920
Phone (719) 434-8810

595 Chapel Hills Dr
Ste 303B
Colorado Springs, CO 80920
Phone (719) 922-1002

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26269/brand/1/csg/1/fhir/r4
  • Direct secure messaging: doraelia.balderas.1@26269.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1184445405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 LOWELL DR",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810672104",
            "telephone_number": "830-719-8219",
            "fax_number": "719-697-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 LOWELL DR",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810672104",
            "telephone_number": "830-719-8219",
            "fax_number": "719-697-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERAS",
        "first_name": "DORAELIA",
        "middle_name": "QUIROZ",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-19",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "1000688",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "0185371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Ford, CO

Sources for this page

Verify at the official NPI Registry.