Individual provider Active NPI

Pamela Balogh, FNP

  • Family Nurse Practitioner
  • Burgaw, NC
National Provider Identifier
1720500754
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216576 Issued in NC
Practice address
803 S Walker St
Burgaw, NC 28425-5001
Phone
(910) 259-1230
Fax
(910) 259-2138
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 216576 NC Primary

Addresses

Primary practice location

803 S Walker St
Burgaw, NC 28425-5001

Mailing address

803 S Walker St
Burgaw, NC 28425-5001
Phone (910) 259-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171227003032 NC Practitioner - Family Practice 4183982952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of PenderGroup PAC ID 7214081421, 5 clinicians

Practice addresses (Care Compare)

803 S Walker St
Burgaw, NC 28425-5001
Phone (910) 259-1230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Pender CurrentSince Oct 4, 2017 Accepting new patients

Locations

803 S Walker St
Burgaw, NC 28425
Phone (910) 259-1230

Interoperability endpoints

  • Direct secure messaging: pamela.balogh@direct.pendercountyhealthdept.nchie.net

Organizations & group practices 1

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720500754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 S WALKER ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255001",
            "telephone_number": "910-259-1230",
            "fax_number": "910-259-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S WALKER ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255001",
            "telephone_number": "910-259-1230",
            "fax_number": "910-259-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOGH",
        "first_name": "PAMELA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "216576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

Verify at the official NPI Registry.