Elizabeth Chase Balaconis, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95023483 Issued in CA

Practice address

300 Pasteur Dr
Stanford, CA 94305-2200

Phone

(650) 723-4000

NPI assigned

Jan 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gifford Health Care IncGroup PAC ID 2668624982, shared by 9 NPIs, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gifford Medical Center Hospital, Randolph, VT, CCN 471301
• Central Vermont Medical Center Hospital, Barre, VT, CCN 470001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Gifford Health Care, Inc

  • General Practice Physician
  • Randolph, VT
  • NPI 1013269430
  Medicare reassignment NPD
• Gifford Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Randolph, VT
  • NPI 1831782929
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Vermont Medical Center Inc

  • General Acute Care Hospital
  • Berlin, VT
  • NPI 1508845637
  Care Compare affiliation
• Gifford Medical Center Inc

  • Critical Access Hospital
  • Randolph, VT
  • NPI 1730199647
  Care Compare affiliation

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1720596992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Fisher Rd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056028132",
            "country_code": "US",
            "telephone_number": "802-371-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALACONIS",
        "first_name": "ELIZABETH",
        "middle_name": "CHASE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VT",
            "license": "101-0134722",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2299054",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101-0134722",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95023483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Anne Bakhtiari, DNP
• Baylee Francesca Bakkila
• Varinder Kaur Bal, M.D.
• Akshara Rao Balachandra, MD
• Yarl Balachandran, MD
• Samantha Nicole Balakrishnan, DNP
• Ryan Baldeo, PA-C
• Morgan Ballard, M.D.
• Kaitlin Ballenger
• Barbara Anne Ballinger, MD

• Nurse Practitioner in Stanford, CA
• Providers in Stanford, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.