Kathryn Danielle Balcom, CNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

APRN.CNP.024895 Issued in OH

Practice address

7675 Wellness Way Ste 315
West Chester, OH 45069-2509

Phone

(513) 475-7600

Fax

(513) 475-7690

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Katie Burger Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

82 of 100Reported as group

Quality

65.97

Promoting interoperability

100

Improvement activities

40

Cost

74.01

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbalcom24512@direct.uchealth.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.

• University of Cincinnati Physicians Company, LLC

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1801840434

  Single Specialty

  NPD

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1417612102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PKWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 WELLNESS WAY STE 315",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692509",
            "telephone_number": "513-475-7600",
            "fax_number": "513-475-7690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2123 Auburn Ave Ste A43",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192906",
            "country_code": "US",
            "telephone_number": "513-475-7600",
            "fax_number": "513-585-3098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3533 Southern Blvd Ste 4100",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454291266",
            "country_code": "US",
            "telephone_number": "937-395-8444",
            "fax_number": "937-395-8450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALCOM",
        "first_name": "KATHRYN",
        "middle_name": "DANIELLE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OH",
            "license": "APRN.CNP.024895",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.024895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BURGER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clayton Baker
• Jessica Baker, M.S., CF-SLP
• Miranda Baker, MA, LPCC-S
• Robin Serena Baker, DDS, MS
• Thomas Baker
• Lindsay Ball, AT, ATC
• Racale Ballard, RN
• Kamillah Ballew
• Erin Elizabeth Ballinger, CDCA , PEERSUPPORT
• Angela Baltimore

• Women's Health Nurse Practitioner in West Chester, OH
• Providers in West Chester, OH by specialty
• Women's Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.