Ma Teresa Justine V. Balboa, AGACNP
NPI 1467069583ActiveIndividual· Nurse Practitioner, Acute Care· New York, NY
Nurse Practitioner, Acute Care (AGACNP) with North Shore-Lij Medical PC and 1 other group, practicing in New York, New York. Their prescriptions cost Medicare Part D more than their services did: $17,819 for 287 claims, against $476.69 paid for services in 2024. Lists Long Island Jewish Medical Center as a hospital affiliation.
Overview
| NPI | 1467069583 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP |
| Sole proprietor | Yes |
| NPI issued | Sep 24, 2020 |
| Last updated in NPPES | Jun 26, 2021 |
| Certified by provider | Jun 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 431842 | NY |
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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 20 across 4 procedure codes |
| Paid by Medicare | $476.69 |
Part D prescriptions in 2024
| Prescriptions (claims) | 287 · 306 30-day fills |
|---|---|
| Patients | 108 |
| Total drug cost | $17,819 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- North Shore-Lij Medical PCStaten Island, NY · 6,440 clinicians
- Fulton Medical PCSyosset, NY · 17 clinicians
Hospital affiliation
- Long Island Jewish Medical CenterNew Hyde Park, NY
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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