Gina Balgoyen, APRN
NPI 1891206983 · Family Nurse Practitioner · Las Vegas, NV
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gina Balgoyen, APRN is a Family Nurse Practitioner provider in Las Vegas, NV (NPI 1891206983).
Provider details
- NPI number
- 1891206983
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- APRN002688 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 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
544 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) |
|---|---|---|
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 107 | $63 |
| Residence Visit for Established Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99350 | 101 | $153 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 62 | $105 |
| Therapy Procedure Using Ultrasound97610 | 51 | $357 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 37 | $61 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Mupirocin | 38 | 26 |
| Silver Sulfadiazine | 15 | — |
| Doxycycline Hyclate | 12 | 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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$457 across 15 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
- 2017-10-17
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Frequently asked questions
- What is Gina Balgoyen's NPI number?
- Gina Balgoyen's National Provider Identifier (NPI) is 1891206983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gina Balgoyen's specialty?
- Gina Balgoyen is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Gina Balgoyen located?
- Gina Balgoyen's practice location on file with NPPES is 732 S 6th St Ste 8080, Las Vegas, NV 89101-6948.
- What is Gina Balgoyen's phone number?
- The practice phone number listed in the NPPES registry for Gina Balgoyen is (702) 688-2500.
- Does Gina Balgoyen accept Medicare?
- Gina Balgoyen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gina Balgoyen's NPI active?
- Yes — Gina Balgoyen's NPI (1891206983) is active in the NPPES registry as of the last update on 2026-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.