Grace Balderas, A.P.R.N. B.C.
NPI 1134109366 · Nurse Practitioner · San Antonio, TX
Enrolled with Medicare as Practitioner - Certified Clinical Nurse Specialist (cns) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grace Balderas, A.P.R.N. B.C. is a Nurse Practitioner provider in San Antonio, TX (NPI 1134109366).
Provider details
- NPI number
- 1134109366
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- A.P.R.N. B.C.
- Sex
- Female
- Sole proprietor
- No
- License
- AP114274 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
244 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 147 | $104 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 58 | $12 |
| Programming of Dual Lead Pacemaker System93280 | 26 | $63 |
| Programming of Multiple Lead Implantable Defibrillator System93284 | 13 | $85 |
Typical Medicare-allowed amounts for these services range $12–$104 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 156 | 62 |
| Metoprolol Succinate | 142 | 54 |
| Amlodipine Besylate | 128 | 52 |
| Losartan Potassium | 81 | 30 |
| Carvedilol | 75 | 32 |
| Lisinopril | 73 | 26 |
| Isosorbide Mononitratebrand: Isosorbide Mononitrate Er |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$170 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-23
- Last updated
- 2022-01-28
Frequently asked questions
- What is Grace Balderas's NPI number?
- Grace Balderas's National Provider Identifier (NPI) is 1134109366, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Grace Balderas's specialty?
- Grace Balderas is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Grace Balderas located?
- Grace Balderas's practice location on file with NPPES is 6800 W Ih 10, San Antonio, TX 78201-2038.
- What is Grace Balderas's phone number?
- The practice phone number listed in the NPPES registry for Grace Balderas is (210) 692-1414.
- Does Grace Balderas accept Medicare?
- Grace Balderas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Grace Balderas's NPI active?
- Yes — Grace Balderas's NPI (1134109366) is active in the NPPES registry as of the last update on 2022-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.