Holly Balsbaugh, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200650084NP Issued in OR

Practice address

51377 SW Old Portland Rd Ste C
Scappoose, OR 97056-4023

Phone

(503) 543-3181

NPI assigned

Sep 14, 2006

Last updated

Jan 14, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cascade AIDS ProjectGroup PAC ID 8729363502, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hbalsbaugh593022@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cascade AIDS Project

  dba Prism Health Belmont

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1275076168
  Medicare reassignment Care Compare group NPD
• Cascade AIDS Project

  dba Prism Health Morris

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1336902394
  NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1710082532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 NE SIMPSON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113748",
            "telephone_number": "503-234-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51377 SW OLD PORTLAND RD STE C",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970564023",
            "telephone_number": "503-543-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSBAUGH",
        "first_name": "HOLLY",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200650084NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Emilio Andreotti, D.M.D.
• Arrow Dental LLC
• Avalon Care Center - Scappoose, L.L.C. (Avalon Care Center - Scappoose)
• Tanya Rochelle Bachman, LMT
• Leslie K Bagon, LCSW
• Samantha Justine Barnes, MSW, CSWA
• Mary E Bartlett, APRN
• Abigail Ruth Blackmore, MSN, RN TCRN
• Tonya N Bonifer, PT, DPT, CSRS
• Rose Bourgeois, LMFT

• Family Nurse Practitioner in Scappoose, OR
• Providers in Scappoose, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.