Active NPI
Jesse J Balls, PA-C
- Medical Physician Assistant
- Jerome, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA-1439
- 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.
-
- Federally Qualified Health Center (FQHC)
- Burley, ID
- NPI 1033165550
ID
-
- Federally Qualified Health Center (FQHC)
- Jerome, ID
- NPI 1073188728
-
- Federally Qualified Health Center (FQHC)
- Rupert, ID
- NPI 1093761694
Medical
-
- Federally Qualified Health Center (FQHC)
- Twin Falls, ID
- NPI 1235279217
-
- Federally Qualified Health Center (FQHC)
- Fairfield, ID
- NPI 1316984529
-
- Federally Qualified Health Center (FQHC)
- Kimberly, ID
- NPI 1659946861
-
- Federally Qualified Health Center (FQHC)
- Buhl, ID
- NPI 1003862525
-
- Federally Qualified Health Center (FQHC)
- Bellevue, ID
- NPI 1245804400
Medical
-
- Federally Qualified Health Center (FQHC)
- Kimberly, ID
- NPI 1538405410
-
- Federally Qualified Health Center (FQHC)
- Twin Falls, ID
- NPI 1669449450
-
- Federally Qualified Health Center (FQHC)
- Jerome, ID
- NPI 1730135310
-
- Federally Qualified Health Center (FQHC)
- Twin Falls, ID
- NPI 1750566386
-
- Federally Qualified Health Center (FQHC)
- Shoshone, ID
- NPI 1841932498
-
- Federally Qualified Health Center (FQHC)
- Twin Falls, ID
- NPI 1972211357
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
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA-1439 | ID | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Services Corporation | Current | Accepting new patients | |
| Family Health Services Corporation | Current | Accepting new patients | |
| Family Health Services Corporation | Current | Accepting new patients | |
| Family Health Services Corporation | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jesse.balls.p1@direct.fhsid.nextgenshare.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-1439 | ID | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.