Victoria Balcom, AGPCNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704283130 Issued in MI

Practice address

950 Victors Way Ste 100
Ann Arbor, MI 48108-5217

Phone

(734) 926-4800

Fax

(734) 973-0595

NPI assigned

Mar 30, 2017

Last updated

Apr 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MI

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1710699624
  Medicare reassignment NPD
• Senf NP Family Medicine PLLC

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  • NPI 1821702432

  MI

  Medicare reassignment
• Im Hospitalists PLLC

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1194001222
  NPD
• CNS Homecare, Inc.

  • Home Health Agency
  • Troy, MI
  • NPI 1639394455
  NPD (past)
• Telemed Consultants PLLC

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1699398347
  NPD (past)

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1952833857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23706 STONELEIGH DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781951",
            "telephone_number": "616-318-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 VICTORS WAY STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085217",
            "telephone_number": "734-926-4800",
            "fax_number": "734-973-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCOM",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704283130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Balaghi, PHD
• Balanced Being Psychotherapy PLLC
• Ronald Alan Balas, RN
• Cheryl Balash
• Sowmya Balasubramanian, M.D.
• Andrew James Baldock, BM
• Alan Drew Baldridge, M.D.
• Sonti Balducci
• Hillary Mary Baldwin Steller, LMSW
• Carrie Ann Baldwin, DMD

• Nurse Practitioner in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.