NPPES file of Aug 9, 2026

Erika Balbuena

Family Nurse Practitioner · Chicago, IL

Erika Balbuena is a family nurse practitioner with a practice address in Chicago, Illinois, and NPI 1326724881, issued on Jun 27, 2023. Check the license (Illinois 209.028420, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1326724881
Name
Erika Balbuena
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License number
209.028420 IL
Self-reported in NPPES; status is on the state search
Practice location
6918 W Archer Ave, Chicago, IL 60638
Phone
(773) 667-3508
Enumerated
Jun 27, 2023
Record last updated
Oct 12, 2023
Fax
(312) 962-4986
Medicare enrollment
Enrolled (PECOS I20231025000323); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

8 nearest family nurse practitioner records → All 7,639 in Illinois → Look up another NPI →

Also registered at 6918 W Archer Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Joanna Godlewska, FNPFamily Nurse Practitioner1922561794
  2. Zue Head, NURSE PRACTITIONERFamily Nurse Practitioner1275034753
  3. Edmund Vizinas, M.D.Internal Medicine Physician1922178391
  4. Jorge Yahuaca, MDFamily Medicine Physician1033664149

Verify Erika Balbuena in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 209.028420    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

57% fewer Medicare Part D claims than the average family nurse practitioner in 2024

556 Medicare Part D claims for 186 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D.

  1. Erika Balbuena556
  2. Specialty average1,305

Most prescribed

  1. Atorvastatin Calcium52 claims
  2. Metformin Hcl20 claims
  3. Metoprolol Succinate18 claims
  4. Amoxicillin-Clavulanate Potass17 claims
  5. Albuterol Sulfate Hfa15 claims
  6. Losartan Potassium15 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $1,756.89

73 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 99,489 providers of this specialty with any payment received $650.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Erika Balbuena$1,756.89
  2. Specialty average$650.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Dupage Internal Medicine OF Illinois LLCHinsdale, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Erika Balbuena among 7,639 family nurse practitioner records in Illinois

Erika Balbuena is one of 7,639 family nurse practitioner records with a practice address in Illinois. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 78% of them.

  • NPI issued2023 · 78% of these records are older, 15% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2021 · median 2018 among the 4,778 with a school on file
  • Record last updated2023 · 39% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1,567 family nurse practitioner records list a practice address in Chicago

They are 1,567 of the 63,379 NPPES records with a practice address in Chicago, and 7,639 family nurse practitioner records in Illinois.

All 7,639 in Illinois → Every provider in Chicago → Family Nurse Practitioner nationwide →

The 8 family nurse practitioner records with the nearest ZIP codes

  1. Joanna Godlewska, FNPChicago, IL 606381922561794
  2. Zue Head, NURSE PRACTITIONERChicago, IL 606381275034753
  3. Eleonora Iavorschi, APRN, FNP-BCChicago, IL 606381649958976
  4. Tara McMillan, FNP-CChicago, IL 606381689039562
  5. Lindsey Ogle, NP-CChicago, IL 606381538546098
  6. Miciah Patton, FNP-CChicago, IL 606381023479417
  7. Jolene Quinones, APNChicago, IL 606381750624581
  8. Jessica Rebstock, FNP-CChicago, IL 606381881169571

Common questions

What is Erika Balbuena's NPI number?

Erika Balbuena's National Provider Identifier (NPI) is 1326724881, issued on Jun 27, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Erika Balbuena located?

The NPPES record lists a practice address at 6918 W Archer Ave, Chicago, IL, 60638. Phone: (773) 667-3508. Providers update this record themselves, so call before visiting.

How can I verify Erika Balbuena's license?

NPPES lists Illinois license number 209.028420, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

How much does Erika Balbuena prescribe under Medicare Part D?

In 2024, Erika Balbuena had 556 Medicare Part D claims for 186 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.