BLERTA BALLA (RN AGNP) – Nurse Practitioner, NPI 1619557881

BLERTA BALLA (RN AGNP) is a healthcare provider. based in Winthrop, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials RN AGNP. They hold a License No. RN2269491 (MA). The NPI Number for BLERTA BALLA (RN AGNP) is 1619557881

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
BLERTA BALLA (RN AGNP)
NPI
1619557881
Phone
(617) 938-7802
Address
29 S MAIN ST
Enumeration Date
12 April 2021
Last Update Date
12 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177240287
Graduation Year
2020 (6 years ago)
PAC ID
5496139446
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20220825001259
Address ID
MA021142696BO55XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for BLERTA BALLA (RN AGNP)

  • 29 S MAIN ST

    WINTHROP, MA 021523142

    Phone: (617) 938-7802

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220825001259INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99443Telephone medical discussion with physician, 21-30 minutes188125$0
99442Telephone medical discussion with physician, 11-20 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 02152)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
Nurse PractitionerMA
P A T H O L O G YNY
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
N E U R O L O G YMA

Reviews

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Frequently asked questions

Can I use this page to confirm BLERTA BALLA (RN AGNP)'s NPI?
Yes. BLERTA BALLA (RN AGNP) is listed with NPI 1619557881 in the public NPI dataset.
Can I rely on BLERTA BALLA (RN AGNP) being an active provider?
As of the registry snapshot, BLERTA BALLA (RN AGNP) is marked active.
What is BLERTA BALLA (RN AGNP)'s specialty?
The listing groups BLERTA BALLA (RN AGNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does BLERTA BALLA (RN AGNP) list a practice location?
Patients near Winthrop, Massachusetts may find BLERTA BALLA (RN AGNP) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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