Rebecca E Balfanz, MSN, RN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

831310 Issued in TX

Practice address

3220 Central Mall Dr
Port Arthur, TX 77642-8037

Phone

(409) 729-7900

Fax

(409) 729-7900

NPI assigned

Oct 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rebecca.balfanz@gbpfm.eclinicaldirectplus.com

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.

• Ramzi S Dakour MD and Ramona S Ataya Dakour MD, PLLC

  • Family Medicine Physician
  • Beaumont, TX
  • NPI 1851716385

  TX

  Medicare reassignment NPD
• Marian Tan Medical Group LTD LLP

  • Pediatrics Physician
  • Port Arthur, TX
  • NPI 1710179445
  NPD (past)
• Sarah Dubose, Aprn, PLLC

  • Family Nurse Practitioner
  • Port Arthur, TX
  • NPI 1528664562
  NPD (past)

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1316458359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 LARKSPUR LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777064446",
            "telephone_number": "409-679-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 CENTRAL MALL DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428037",
            "telephone_number": "409-729-7900",
            "fax_number": "409-729-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALFANZ",
        "first_name": "REBECCA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "831310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angeliqueca Avery, LPC
• Kristin Aydelotte
• Saikiran Bahadur, DDS
• Shanda Bailey, RPH
• Janet K Baker Guidry, OD
• Brandi Kay Ballard, PTA
• Restituto E Baluyot, MD
• Kristine Elizabeth Banks Dahl, M.D.
• Benji Paul Barkers
• Dick Barlow

• All providers in Port Arthur, TX
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.