Kelly-Jo Pass Balignasay, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A-105278 Issued in IA

Practice address

6165 NW 86TH St
Johnston, IA 50131-2240

Phone

(515) 512-9161

Fax

(515) 293-6931

NPI assigned

Sep 26, 2016

Last updated

May 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly-Jo Pass Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1235688771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 155TH CIR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503231648",
            "telephone_number": "515-554-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 NW 86TH ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312240",
            "telephone_number": "515-512-9161",
            "fax_number": "515-293-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALIGNASAY",
        "first_name": "KELLY-JO",
        "middle_name": "PASS",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-105278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY-JO",
            "last_name": "PASS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shaylee Backer
• Dana Bailey, PT, DPT
• Dylan Robert Baker, DC
• Alaina Nicole Baldner
• Stacy Balfour, BCBA
• Summer Renee Barber, OTD, OTR-L
• Joseph Barnard
• Mark A Barnhill, DO
• Margaret Ann Barsetti, OTD
• Bartek Therapy Services, Inc. (Elevate Physical Therapy & Sports Medicine)

• Family Nurse Practitioner in Johnston, IA
• Providers in Johnston, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.