Individual provider Active NPI

Ryan Danielle Balsley, PA-C

  • Physician Assistant
  • Forney, TX
National Provider Identifier
1790405272
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15962 Issued in TX
Practice address
375 FM 548 Ste 100
Forney, TX 75126-6985
Phone
(972) 564-0044
NPI assigned
Sep 2, 2022
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15962 TX Primary

Addresses

Primary practice location

375 FM 548 Ste 100
Forney, TX 75126-6985

Mailing address

375 FM 548 Ste 100
Forney, TX 75126-6985
Phone (972) 564-0044

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220928000522 TX Practitioner - Physician Assistant 3779969845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1005 W Ralph Hall Pkwy
Suite 101
Rockwall, TX 75032-6663
Phone (972) 771-8686

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708

251 Westpark Way
Suite 212
Euless, TX 76040-3707
Phone (214) 570-2319

4333 N Josey LN
Suite 104
Carrollton, TX 75010-4620
Phone (972) 394-4500

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
Phone (214) 345-5999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15962TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Oct 1, 2024 Accepting new patients
Texas Health Physicians Group CurrentSince Oct 1, 2024 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

Interoperability endpoints

  • Direct secure messaging: rbalsley2588057@direct.texashealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1790405272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 FM 548 STE 100",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266985",
            "telephone_number": "972-564-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 FM 548 STE 100",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266985",
            "telephone_number": "972-564-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSLEY",
        "first_name": "RYAN",
        "middle_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.