Mildred Villarama Balotro, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

833734 Issued in NV

Practice address

3061 S Maryland Pkwy
Las Vegas, NV 89109-2298

Phone

(702) 254-5437

NPI assigned

Feb 5, 2021

Last updated

Apr 22, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Touro Un Col of Osteopathic Medicine, Henderson, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpine Hospitalist Group LLLPGroup PAC ID 8022248293, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Alpine Hospitalist Group LLLP

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1457783987
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1396337846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 E RUSSELL RD APT 2013",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891228043",
            "telephone_number": "702-340-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092298",
            "telephone_number": "702-254-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOTRO",
        "first_name": "MILDRED",
        "middle_name": "VILLARAMA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "833734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellie Baloaloa
• Andrea Balogh, PA-C
• Lydia Balolane
• Ester Balonran
• Marinel Lee Balos
• Noel Reinart Abad Balquin, R.N.
• Anna Aliyah Juliana Balsicas
• Robert William Balsiger, D.O.
• Samantha Palomer Balsomo, NP-C
• Jacob Balsterholt

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.