Jennifer Leigh Balsano, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

640743 Issued in TX

Practice address

195 N 11TH St
Beaumont, TX 77702-2212

Phone

(094) 266-1888

Fax

(409) 833-9575

NPI assigned

Jul 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Gulf Coast Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Port Arthur, TX
  • NPI 1912904897
  Medicare reassignment NPD
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  Medicare reassignment NPD
• Gulf Coast Health Center, Inc

  dba GCHC-Port Arthur Park Plaza Site

  • Federally Qualified Health Center (FQHC)
  • Port Arthur, TX
  • NPI 1578287389
  NPD
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - Jasper Memorial

  • Rural Acute Care Hospital
  • Jasper, TX
  • NPI 1598749707
  NPD (past)
• Gulf Coast Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Silsbee, TX
  • NPI 1225036932
  NPD (past)
• Stephanie P. Cunningham DO PA

  dba Advanced Women's Healthcare

  • Obstetrics & Gynecology Physician
  • Port Arthur, TX
  • NPI 1801058987
  NPD (past)
• University of Texas Medical Branch at Galveston

  • Community/Retail Pharmacy
  • Friendswood, TX
  • NPI 1699532861
  NPD (past)

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1699116277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650859",
            "address_2": "DEPT 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752655819",
            "telephone_number": "409-747-1173",
            "fax_number": "409-982-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022212",
            "telephone_number": "094-266-1888",
            "fax_number": "409-833-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSANO",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124020",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "640743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Baird, OT
• Douglas R. Bakeler, CRNA
• Ellen Baker
• Balance Dizziness & Physical Therapy Clinic, LLC
• Claudia Elena Balandran
• Olushola Bankole, MD
• Brittany Banks, LMT
• Jamie Banks
• Baptist Hospital of Southeast Texas (Baptist Beaumont Hospital)
• Baptist Hospitals of Southeast Texas (Baptist Beaumont Hospital)

• Family Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.