AMANDA BALK (RD, LD, PA-C) – Physician Assistant, NPI 1851806467

AMANDA BALK (RD, LD, PA-C) is a healthcare provider. based in De soto, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials RD, LD, PA-C. The NPI Number for AMANDA BALK (RD, LD, PA-C) is 1851806467

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA BALK (RD, LD, PA-C)
NPI
1851806467
Phone
(636) 282-0380
Address
120 Boyd St
Enumeration Date
5 December 2017
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
7719360528
Group Practice PAC ID
8729398425
Professional Enrollment ID
I20220811001263
Address ID
MO631283891Sa5000XPKWY401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:8State licenses:0Digital endpointsOther names

1,854 PHYSICIAN ASSISTANT in MO

Provider Addresses for AMANDA BALK (RD, LD, PA-C)

  • 120 Boyd St

    DE Soto, MO 630201702

    Phone: (636) 282-0380

    Fax: (877) 592-0806

    Type: Location

  • 6635 S STAPLES ST APT 123

    CORPUS CHRISTI, TX 784135407

    Phone: (314) 570-9551

    Type: Location

  • 5000 CEDAR PLAZA PKWY STE 300

    SAINT LOUIS, MO 631283891

    Phone: (636) 282-0380

    Type: Mailing

  • 120 BOYD ST

    DE SOTO, MO 630201702

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 69 Open Payments records for all available years, with a total value of $1,175.

Total Amount is formed as General ($1,175) + Research ($0) + Ownership ($0) = $1,175.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($180).

Total Amount

$1,175

General + Research + Ownership

Payments

69

Total payment records

General Amount

$1,175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-08-11

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
I20220811001263IPhysician AssistantMOTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes16563$0
99214Established patient office or other outpatient visit, 30-39 minutes2318$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2017$0
99215Established patient office or other outpatient visit, 40-54 minutes1813$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1813$0
View full utilization report →

Insurance plans in this area (ZIP 63020)

Loading plans...

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: 8729398425View full group profile
NameSpecialtyState
Internal MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO
Internal Medicine, Family PracticeMO
Nurse PractitionerMO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for AMANDA BALK (RD, LD, PA-C)?
Save NPI 1851806467 if you need a stable reference for AMANDA BALK (RD, LD, PA-C).
Is AMANDA BALK (RD, LD, PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does AMANDA BALK (RD, LD, PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for AMANDA BALK (RD, LD, PA-C). Clinical services aligned with this taxonomy classification.
What location shows for AMANDA BALK (RD, LD, PA-C)?
We surface De Soto, Missouri for AMANDA BALK (RD, LD, PA-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

MR. PAUL W JENKINS (PA-C)

Surgical Physician Assistant
Wornall Road, Indian Village, Kansas City, Jackson County, Missouri, 64114, United States
NPI: 1477556215

MR. JEREMY D DUNBARR (P.A.)

Physician Assistant
3915 WATSON RD STE 202
NPI: 1831191014
McClelland Boulevard, Joplin, Newton County, Missouri, 64804, United States
NPI: 1528063807

JAMIE LYNN SHEDELBOWER (PA)

Physician Assistant
John Cochran Division - VA St. Louis Health Care System, 915, North Grand Boulevard, Covenant Blu Grand Center, City of Saint Louis, Missouri, 63106, United States
NPI: 1033115480

MR. LAWRENCE MCCLINTON (PA)

Surgical Physician Assistant
3691 RUTGER ST
NPI: 1427055961

BRYON J WITZEL (PA-C)

Physician Assistant
621, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
NPI: 1528065844
2450 LOUISIANA ST STE 400-219
NPI: 1407854110

MR. JASON B GAY (PA-C)

Physician Assistant
Clayton Road, Clayton, Saint Louis County, Missouri, 63017, United States
NPI: 1518964378
1475 KISKER RD STE 200
NPI: 1245238401