Individual provider Active NPI

Monique Balfour, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1992242309
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2280851 Issued in MA
Practice address
34 N Pearl St
Brockton, MA 02301-1708
Phone
(857) 397-2009
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2280851 MA Primary

Addresses

Primary practice location

34 N Pearl St
Brockton, MA 02301-1708

Mailing address

34 N Pearl St
Brockton, MA 02301-1708
Phone (508) 408-9200

Other practice location 1

11 Fairmount Ave Ste 109
Hyde Park, MA 02136-2777
Phone (857) 397-2009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190206000592 MA Practitioner - Nurse Practitioner 2264770858 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Medical Foundation, Inc. CurrentSince Dec 27, 2022 Accepting new patients
Myora Integrated Health and Psychiatry PLLC Family CurrentSince May 16, 2026 Accepting new patients
Boston University Psychiatry Associates, Inc. CurrentSince Dec 27, 2022 Accepting new patients
Carnegie Psychiatry LLC CurrentSince May 16, 2026 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
CVS Pharmacy Inc PastSince Jan 4, 2019 Accepting new patients

Locations

85 East Newton St
Ste 905
Boston, MA 02118
Phone (617) 414-5245

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

34 N Pearl St
Brockton, MA 02301
Phone (508) 408-9200

11 Fairmount Ave
Ste 109
Hyde Park, MA 02136
Phone (857) 345-9025

11 Fairmount Ave
Ste 9
Hyde Park, MA 02136

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: mbalfour178414@direct.bmc.masshiway.net

Organizations & group practices 6

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1992242309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011708",
            "telephone_number": "508-408-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011708",
            "telephone_number": "857-397-2009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Fairmount Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "MA",
            "postal_code": "021362777",
            "country_code": "US",
            "telephone_number": "857-397-2009",
            "fax_number": "857-999-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALFOUR",
        "first_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2280851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.