Jessica L. Balcom, FNP-C
NPI 1205320777ActiveIndividual· Nurse Practitioner, Family· Payson, AZ
Nurse Practitioner, Family (FNP-C) with Emergency Physicians Southwest PC and 1 other group, practicing in Payson, Arizona. 198 Medicare patients in 2024, $19,146 paid; nearly all of their 278 Part D prescriptions were generic (97%). Lists Banner Payson Medical Center as a hospital affiliation.
Overview
| NPI | 1205320777 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Jun 19, 2018 |
| Last updated in NPPES | Sep 24, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP11809 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 198 |
|---|---|
| Services billed | 224 across 17 procedure codes |
| Paid by Medicare | $19,146 |
Part D prescriptions in 2024
| Prescriptions (claims) | 278 · 284 30-day fills |
|---|---|
| Patients | 169 |
| Total drug cost | $3,811 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Emergency Physicians Southwest PCPayson, AZ · 98 clinicians
- Tonto Apache Healthcare LLCPayson, AZ · 2 clinicians
Hospital affiliation
- Banner Payson Medical CenterPayson, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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