DAVID BRIAN BALDERSON (NP) – Nurse Practitioner, NPI 1730705989

DAVID BRIAN BALDERSON (NP) is a healthcare provider. based in Stevens point, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 243896 (MT). The NPI Number for DAVID BRIAN BALDERSON (NP) is 1730705989

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DAVID BRIAN BALDERSON (NP)
NPI
1730705989
Phone
(715) 540-0069
Address
2001 RIVER VIEW AVE TRLR 88
Enumeration Date
23 June 2020
Last Update Date
2 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6085772084
Graduation Year
2019 (7 years ago)
PAC ID
4789126889
Group Practice PAC ID
8628512407
Professional Enrollment ID
I20240604003726
Address ID
WI537046070MA401XXWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:5State licenses:12Digital endpointsOther names

6,035 NURSE PRACTITIONER in WI

Provider Addresses for DAVID BRIAN BALDERSON (NP)

  • 2001 RIVER VIEW AVE TRLR 88

    STEVENS POINT, WI 544815278

    Phone: (715) 540-0069

    Type: Mailing

  • 3290 CLIFFORD ST

    STEVENS POINT, WI 544815407

    Phone: (715) 540-0069

    Type: Mailing

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: 2025-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20240604003726INurse PractitionerWITBD
I20241011003250INurse PractitionerMITBD
I20241024002443INurse PractitionerINTBD
I20250402001646INurse PractitionerMOTBD
I20250627003345INurse PractitionerNYTBD
I20250707002415INurse PractitionerTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54481)

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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: 8628512407View full group profile
NameSpecialtyState
Nurse PractitionerWI
Nurse PractitionerTX
Nurse PractitionerMN
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

How do I look up DAVID BRIAN BALDERSON (NP) by NPI?
Use NPI 1730705989 when you need to reference DAVID BRIAN BALDERSON (NP) in forms, claims, or directories.
Is DAVID BRIAN BALDERSON (NP) active in the national directory?
DAVID BRIAN BALDERSON (NP)'s public NPI profile is in an active state.
Can you summarize DAVID BRIAN BALDERSON (NP)'s specialty in plain language?
Clinically, the directory lists DAVID BRIAN BALDERSON (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place DAVID BRIAN BALDERSON (NP)?
The snapshot lists Stevens Point, Wisconsin for DAVID BRIAN BALDERSON (NP); download NPPES for the complete set.
Is DAVID BRIAN BALDERSON (NP) a real provider?
This page reflects official NPPES data for NPI 1730705989. Always confirm identity and privileges with the practice and licensing boards.