Andrew Balsys, APN-C
NPI 1255767646 · Nurse Practitioner · Neptune, NJ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrew Balsys, APN-C is a Nurse Practitioner provider in Neptune, NJ (NPI 1255767646).
Provider details
- NPI number
- 1255767646
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN-C
- Sex
- Male
- Sole proprietor
- No
- License
- 26NJ00438700 (NJ)
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
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
11 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 11 | $69 |
Typical Medicare-allowed amounts for these services range $69–$69 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$58 across 3 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
Additional practice locations (2)
- 1925 Pacific AveAtlantic City, NJ 08401-6713Phone: (732) 682-9486
- 901 W Main St Ste 160Freehold, NJ 07728Phone: (732) 577-0600Fax: (732) 577-6332
Registry dates
- Enumerated
- 2013-09-18
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Frequently asked questions
- What is Andrew Balsys's NPI number?
- Andrew Balsys's National Provider Identifier (NPI) is 1255767646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Balsys's specialty?
- Andrew Balsys is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Andrew Balsys located?
- Andrew Balsys's practice location on file with NPPES is 1945 State Route 33, Neptune, NJ 07753-4859.
- What is Andrew Balsys's phone number?
- The practice phone number listed in the NPPES registry for Andrew Balsys is (732) 775-5500.
- Does Andrew Balsys accept Medicare?
- Andrew Balsys is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrew Balsys's NPI active?
- Yes — Andrew Balsys's NPI (1255767646) is active in the NPPES registry as of the last update on 2025-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.