Active NPI
Julia Esther Balcom, MN,BSN
- Family Nurse Practitioner
- Dallas, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201391421NP-PP
- Practice address
- 531 SE Clay St
Dallas, OR 97338-2865 - Phone
- (971) 612-6100
- Fax
- (971) 612-6101
- NPI assigned
- Oct 23, 2013
- Last updated
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201391421NP-PP | OR | Primary |
Addresses
Primary practice location
531 SE Clay St
Dallas, OR 97338-2865
Mailing address
PO Box 1517
Pendleton, OR 97801-0410
Phone (877) 708-1119
Other names 1
- Julia Esther Thomas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
929 SW Simpson Ave
Bend, OR 97702-3599
Phone (541) 389-7741
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201391421NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Praxis Health, PC | Family | Current | Accepting new patients |
| Praxis Health, PC | Current | Accepting new patients |
Locations
929 SW Simpson Ave
Bend, OR 97702
Phone (541) 848-6642
531 SE Clay St
Dallas, OR 97338
Phone (503) 623-5430
4999 Skyline Rd S
Ste 100
Salem, OR 97306
Phone (503) 364-4005
Interoperability endpoints
- jbalcom237704@direct.salemhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1194153494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1517",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978010410",
"telephone_number": "877-708-1119",
"fax_number": "541-278-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 SE CLAY ST",
"city": "DALLAS",
"state": "OR",
"postal_code": "973382865",
"telephone_number": "971-612-6100",
"fax_number": "971-612-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALCOM",
"first_name": "JULIA",
"middle_name": "ESTHER",
"credential": "MN,BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-23",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201391421NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "THOMAS",
"middle_name": "ESTHER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.