Active NPI
Doraelia Quiroz Balderas, FNP-BC
- Family Nurse Practitioner
- Rocky Ford, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1000688
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCMWS Wound Solutions LLC
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
- Arkansas Valley Regional Medical Center
- Lamar Estates Nursing Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0185371 | CO | MD | Registered Nurse |
| 1000688 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MWS Wound Solutions LLC | Single Specialty | Current | Accepting new patients |
| Lykos Medical LLC | Single Specialty | Current | Accepting new patients |
| Balderas LLC. | Single Specialty | Current | 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
- https://api.platform.athenahealth.com/26269/brand/1/csg/1/fhir/r4
- 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.
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1215423124
CO, Single Specialty
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1184482952
CO, Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- La Junta, CO
- NPI 1760489470
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.