Individual provider Active NPI

Jesse J Balls, PA-C

  • Medical Physician Assistant
  • Jerome, ID
National Provider Identifier
1487026191
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-1439 Issued in ID
Practice address
218 W Nez Perce
Jerome, ID 83338-5193
Phone
(208) 324-3471
Fax
(208) 324-9191
NPI assigned
Oct 21, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 14

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Services Corporation 48 clinicians

Practice addresses (Care Compare)

114 Pioneer CT
Jerome, ID 83338-5193
Phone (208) 732-7125

218 W Nez Perce
Jerome, ID 83338-5077
Phone (208) 324-3471

621 N Main St
Bellevue, ID 83313-5093
Phone (208) 725-3146

788 Martin
Twin Falls, ID 83301
Phone (208) 734-1281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20161230000649 ID Practitioner - Physician Assistant 1557668555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-1439IDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services Corporation CurrentSince Jan 17, 2017 Accepting new patients
Family Health Services Corporation Current Accepting new patients
Family Health Services Corporation Current Accepting new patients
Family Health Services Corporation CurrentSince Jan 17, 2017 Accepting new patients
Family Health Services Corporation Medical Current Accepting new patients
Family Health Services Corporation Medical Past Accepting new patients
Family Health Services Corporation Past Accepting new patients
Family Health Services Corporation Past Accepting new patients
Family Health Services Corporation Past Accepting new patients
Family Health Services Corporation Past Accepting new patients
Family Health Services Corporation Past Accepting new patients
Family Health Services Corporation Past Accepting new patients
Family Health Services Corporation Past Accepting new patients

Locations

621 N Main St
Bellevue, ID 83313
Phone (208) 725-3145

725 Fair St
Buhl, ID 83316
Phone (208) 543-8271

1309 Bennett Ave
Burley, ID 83318
Phone (208) 677-5198

218 W Nez Perce
Jerome, ID 83338
Phone (208) 324-3471

114 Pioneer Ct
Jerome, ID 83338
Phone (208) 324-3471

402 6th St
Rupert, ID 83350
Phone (208) 650-7941

651 S Beverly St
Shoshone, ID 83352
Phone (208) 886-2224

388 Martin St
Twin Falls, ID 83301
Phone (208) 734-0451

794 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-3312

325 Martin St
Twin Falls, ID 83301
Phone (208) 732-7101

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jesse.balls.p1@direct.fhsid.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-1439 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

218 W Nez Perce
Jerome, ID 83338-5193

Mailing address

794 Eastland Dr
Twin Falls, ID 83301-6856
Phone (208) 737-6718

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2021.

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1487026191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016856",
            "telephone_number": "208-737-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W NEZ PERCE",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833385193",
            "telephone_number": "208-324-3471",
            "fax_number": "208-324-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLS",
        "first_name": "JESSE",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-21",
        "last_updated": "2021-04-08",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-1439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jerome, ID

Sources for this page

Verify at the official NPI Registry.