Individual provider Active NPI

Jessica Elizabeth Balarin, PA-C

  • Physician Assistant
  • Schenectady, NY
National Provider Identifier
1851821102
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020855 Issued in NY
Practice address
3757 Carman Rd Ste 100
Schenectady, NY 12303-5438
Phone
(518) 355-7063
Fax
(518) 357-0646
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 020855 NY
Physician Assistant 363A00000X 020855 NY Primary

Addresses

Primary practice location

3757 Carman Rd Ste 100
Schenectady, NY 12303-5438

Mailing address

711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700

Other practice location 1

115 Saratoga Rd Ste 110
Glenville, NY 12302-4210
Phone (518) 264-9000

Other identifiers 1

IdentifierTypeStateIssuer
04796585MedicaidNY

Other names 1

  • Jessica Elizabeth Richards Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170906001665 NY Practitioner - Physician Assistant 5496028839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

11 Moriah Rd
Unit 102
Glenmont, NY 12077-2981
Phone (518) 626-8665

1438 Western Ave
Albany, NY 12203-3421
Phone (518) 649-9986

1694 Route 9
Halfmoon, NY 12065-8816
Phone (518) 930-7486

1708 Altamount Ave
Schenectady, NY 12303-2137
Phone (518) 344-4778

204 S Broadway
Saratoga Springs, NY 12866-4570
Phone (518) 226-3288

233 Saratoga Rd
Glenville, NY 12302-4508
Phone (518) 930-7497

445 Balltown Rd
Suite 1
Schenectady, NY 12304-2269
Phone (518) 387-3566

573 N Greenbush Rd
Rensselaer, NY 12144-9451
Phone (518) 268-2345

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

800 New Loudon Rd
Suite 1400
Latham, NY 12110-3900
Phone (518) 218-4200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Jul 5, 2017 Accepting new patients
Albany Medical College CurrentSince Jul 5, 2017 Accepting new patients
Community Care Physicians, PC Past Accepting new patients

Locations

3757 Carman Rd
Ste 100
Schenectady, NY 12303
Phone (518) 355-7063

115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1851821102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3757 CARMAN RD STE 100",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123035438",
            "telephone_number": "518-355-7063",
            "fax_number": "518-357-0646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Saratoga Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Glenville",
            "state": "NY",
            "postal_code": "123024210",
            "country_code": "US",
            "telephone_number": "518-264-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALARIN",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "020855",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04796585",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "RICHARDS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.