Ma Teresa Justine Balboa, AGACNP
NPI 1467069583 · Acute Care Nurse Practitioner · New York, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ma Teresa Justine Balboa, AGACNP is a Acute Care Nurse Practitioner provider in New York, NY (NPI 1467069583).
Provider details
- NPI number
- 1467069583
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 431842 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
13 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Ultrasonic Guidance for Blood Vessel Access76937 | 13 | $13 |
Typical Medicare-allowed amounts for these services range $13–$13 (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 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 31 | 30 |
| Prednisone | 27 | 18 |
| Atorvastatin Calcium | 13 | 11 |
| Cefuroxime Axetilbrand: Cefuroxime | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-09-24
- Last updated
- 2021-06-26
- Certified
- 2021-06-26
Frequently asked questions
- What is Ma Teresa Justine Balboa's NPI number?
- Ma Teresa Justine Balboa's National Provider Identifier (NPI) is 1467069583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ma Teresa Justine Balboa's specialty?
- Ma Teresa Justine Balboa is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ma Teresa Justine Balboa located?
- Ma Teresa Justine Balboa's practice location on file with NPPES is 1468 Madison Ave, New York, NY 10029-6508.
- What is Ma Teresa Justine Balboa's phone number?
- The practice phone number listed in the NPPES registry for Ma Teresa Justine Balboa is (212) 241-6500.
- Does Ma Teresa Justine Balboa accept Medicare?
- Ma Teresa Justine Balboa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ma Teresa Justine Balboa's NPI active?
- Yes — Ma Teresa Justine Balboa's NPI (1467069583) is active in the NPPES registry as of the last update on 2021-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.