Individual provider Active NPI

Josie Joy Balboa-Azura, FNP-C

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1407226285
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8082 Issued in AZ
Practice address
14780 W Mountain View Blvd
110
Surprise, AZ 85374-4799
Phone
(623) 374-7774
Fax
(888) 632-4758
NPI assigned
Oct 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8082 AZ Primary

Addresses

Primary practice location

14780 W Mountain View Blvd
110
Surprise, AZ 85374-4799

Mailing address

14780 W Mountain View Blvd
Ste 110
Surprise, AZ 85374-7280
Phone (623) 374-7774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20160331000334 AZ Practitioner - Nurse Practitioner 7315243656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

13943 N 91St Ave
Suite 101
Peoria, AZ 85381-3688
Phone (480) 610-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.02 of 100Reported as group
Quality
69.14
Promoting interoperability
100
Improvement activities
40
Cost
77.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute, PLC CurrentSince Sep 5, 2022 Accepting new patients
Southwest Kidney Institute, PLC CurrentSince Sep 5, 2022 Accepting new patients
Southwest Kidney Institute, PLC Current Accepting new patients

Locations

13943 N 91st Ave
Peoria, AZ 85381

13943 N 91st Ave
Ste H101
Peoria, AZ 85381
Phone (623) 977-1331

13943 N 91st Ave
Ste 101
Peoria, AZ 85381
Phone (623) 254-7271

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

13041 N Del Webb Blvd
Ste 140
Sun City, AZ 85351

14671 W Mountain View Blvd
Ste 112
Surprise, AZ 85374

14671 W Mountain View Blvd
Ste 101
Surprise, AZ 85374

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

519 Rose Ln
Wickenburg, AZ 85390
Phone (844) 888-0408

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2697/brand/1/csg/22/fhir/r4
  • Direct secure messaging: joy.balboa.1@2697.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1407226285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 W MOUNTAIN VIEW BLVD",
            "address_2": "STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747280",
            "telephone_number": "623-374-7774",
            "fax_number": "888-632-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 W MOUNTAIN VIEW BLVD",
            "address_2": "110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744799",
            "telephone_number": "623-374-7774",
            "fax_number": "888-632-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBOA-AZURA",
        "first_name": "JOSIE JOY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.