Blerta Balla, RN AGNP
NPI 1619557881 · Nurse Practitioner · Winthrop, MA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blerta Balla, RN AGNP is a Nurse Practitioner provider in Winthrop, MA (NPI 1619557881).
Provider details
- NPI number
- 1619557881
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN AGNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN2269491 (MA)
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
262 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) |
|---|---|---|
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 262 | $116 |
Typical Medicare-allowed amounts for these services range $116–$116 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-12
- Last updated
- 2021-04-12
- Certified
- 2021-04-12
Frequently asked questions
- What is Blerta Balla's NPI number?
- Blerta Balla's National Provider Identifier (NPI) is 1619557881, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blerta Balla's specialty?
- Blerta Balla is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Blerta Balla located?
- Blerta Balla's practice location on file with NPPES is 29 S Main St, Winthrop, MA 02152-3142.
- What is Blerta Balla's phone number?
- The practice phone number listed in the NPPES registry for Blerta Balla is (617) 938-7802.
- Does Blerta Balla accept Medicare?
- Blerta Balla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Blerta Balla's NPI active?
- Yes — Blerta Balla's NPI (1619557881) is active in the NPPES registry as of the last update on 2021-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.