Individual provider Active NPI

Bosa Balesevic, FNP

  • Family Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1487360178
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209034370 Issued in IL
Practice address
510 E Apple Orchard Rd
Springfield, IL 62703-4017
Phone
(877) 448-3627
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 209034370 IL Primary

Addresses

Primary practice location

510 E Apple Orchard Rd
Springfield, IL 62703-4017

Mailing address

901 McClintock Dr
Burr Ridge, IL 60527-0871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230410000564 AZ Practitioner - Nurse Practitioner 8921473711 Reassigns benefits to 1 organization
I20260504004799 IL Practitioner - Nurse Practitioner 8921473711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Community Physicians PCGroup PAC ID 4587560552, 162 clinicians
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

3190 N Swan Rd
Tucson, AZ 85712-1227
Phone (570) 547-9700

510 E Apple Orchard Rd
Suite 102
Springfield, IL 62703-4080
Phone (877) 448-3627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28951AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC Nurse Practitioner Current Accepting new patients
Banner-University Medical Group CurrentSince Feb 16, 2026 Accepting new patients
Arizona Community Physician PC CurrentSince May 1, 2023 Accepting new patients
Banner-University Medical Group CurrentSince Feb 16, 2026 Accepting new patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner Past Accepting new patients
Banner-University Medical Group Past Accepting new patients

Locations

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

7165 N Pima Canyon Dr
Tucson, AZ 85718
Phone (520) 694-2021

3190 N Swan Rd
Tucson, AZ 85712
Phone (520) 547-9700

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1487360178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E APPLE ORCHARD RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034017",
            "telephone_number": "877-448-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALESEVIC",
        "first_name": "BOSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209034370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.