2026 NPPES data Nurse Practitioner NPI 1760775639 WHNP
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AMANDA BALCH, WHNP

Nurse Practitioner in SAN MATEO, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
23
Medicare Part D claims · 12 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
71.5366/100
▼ 12 pts below national avg 83.1 · [object Object]
What the federal data reveals: AMANDA BALCH, WHNP is a Nurse Practitioner ([object Object]) practicing in SAN MATEO, California with a Medicare Part D prescribing footprint of 23 claims across 12 beneficiaries . Their CMS MIPS Final Score of 71.5366/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: AMANDA BALCH, WHNP reported a CMS MIPS final score of 71.5366 out of 100, below the 83.1 national average, and filed 23 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

AMANDA BALCH, WHNP at a glance

Below national average

NPI registry status

Active

Issued 05/25/2011

NPI 1760775639

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

23 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

71.5366/100 11.563399999999987% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in California

How Nurse Practitioner compares to other specialties among California providers

California providers

Nurse Practitioner share within California

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within California

Medicare quality performance — MIPS

AMANDA BALCH, WHNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
71.5366/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 71.5366/100 vs national avg 83.1

0%100%National avg83%71.5%
MIPS final score (Nurse Practitioner) — 71.5366/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

AMANDA BALCH, WHNP is a Nurse Practitioner provider practicing in SAN MATEO, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: WHNP. NPI: 1760775639. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

AMANDA BALCH, WHNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding WHNP credentials at 951 MARINERS ISLAND BLVD, SAN MATEO, CA, 94404, with a listed phone of (650) 285-6927. NPI 1760775639 was issued on 05/25/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALCH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 23 prescription claims written by this provider, covering 12 Medicare beneficiaries and totaling roughly $5K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 71.5366/100 for the 2023 performance year (Quality 64.8573, Cost 69.5505), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

951 MARINERS ISLAND BLVD
SAN MATEO, CA 94404

Provider Details

NPI 1760775639
Specialty Nurse Practitioner
Credentials WHNP
Gender Female
NPI Issued 05/25/2011

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

71.5366
Final Score
Avg: 83.1
64.8573
Quality
69.5505
Cost

Reporting: Group practice

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to AMANDA BALCH, WHNP. To verify AMANDA BALCH, WHNP's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

23
Total Claims
$5K
Total Drug Cost
12
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
42
Total Day Supply
1,181
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
60.1 years
Avg HCC Risk Score
0.67
Gender Split
100% female / 0% male

Nurse Practitioner Overview

How AMANDA BALCH, WHNP fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

AMANDA BALCH, WHNP's 23 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as BALCH.

Compare Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is AMANDA BALCH, WHNP's specialty?
AMANDA BALCH, WHNP specializes in Nurse Practitioner and practices in SAN MATEO, California. Credentials: WHNP.
How much does AMANDA BALCH, WHNP prescribe under Medicare Part D?
In 2023, AMANDA BALCH, WHNP wrote 23 Medicare Part D claims totaling $5K in drug costs for 12 beneficiaries.
What is AMANDA BALCH, WHNP's Medicare quality score?
AMANDA BALCH, WHNP has a CMS MIPS Final Score of 71.5366/100 (Quality: 64.8573, Cost: 69.5505). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is AMANDA BALCH, WHNP located?
AMANDA BALCH, WHNP is located at 951 MARINERS ISLAND BLVD, SAN MATEO, CA, 94404. Phone: (650) 285-6927.
What is AMANDA BALCH, WHNP's NPI number?
AMANDA BALCH, WHNP's National Provider Identifier (NPI) is 1760775639, issued on 05/25/2011.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
Does AMANDA BALCH, WHNP accept Medicare?
AMANDA BALCH, WHNP appears in CMS Medicare data with 23 Part D claims and 12 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AMANDA BALCH, WHNP's credentials?
AMANDA BALCH, WHNP's NPI is 1760775639 with credentials WHNP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology