Jennifer Marie Ballesteros, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP7580 Issued in AZ

Practice address

17218 N 72ND Dr
Suite 100
Glendale, AZ 85308-8580

Phone

(623) 334-8670

NPI assigned

Oct 11, 2011

Last updated

Apr 1, 2015By 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, AZ2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

85.77 of 100Reported as group

Quality

81.6

Improvement activities

40

Cost

77.61

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Cep America- Arizona, PC

  • Emergency Medicine Physician
  • Chandler, AZ
  • NPI 1780202804
  Medicare reassignment NPD
• Navarro Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Corsicana, TX
  • NPI 1851523252

  Nurse Practitioner

  Medicare reassignment NPD
• Cep America - Arizona PC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1356021190
  NPD
• Cep America-Arizona, PC

  dba Vituity

  • Emergency Medicine Physician
  • Sun City, AZ
  • NPI 1306210224
  NPD
• Phoenician Medical Center, Inc

  dba East Valley Family Medical and 21st Century Family Medicine

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1891895637
  NPD (past)

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1265716187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17218 N 72ND DR",
            "address_2": "SUITE #100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088580",
            "telephone_number": "623-334-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17218 N 72ND DR",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088580",
            "telephone_number": "623-334-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTEROS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "775536",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Baldwin, M.S., CCC-SLP
• Baljeet Singh MD LLC
• Sharleen Villasol Ballance, NP
• Matthew Ballard
• Michelle Marie Ballecer, M.D., M.P.H.
• Timothy S Ballitch, D.C.
• Marissa Balsino, LMFT
• David G Balzer, D.P.T.
• Justice Banda
• Paul Bangura

• Family Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.