2026 NPPES data Acute Care Nurse Practitioner NPI 1154675122
Verify on CMS →

JENNIFER BALINGCONGAN

Acute Care Nurse Practitioner in COLUMBUS, Ohio. 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
112
Medicare Part D claims · 73 beneficiaries · Acute Care Nurse Practitioner avg: 576
MIPS score
81.3083/100
▼ 2 pts below national avg 83.1 · [object Object]
What the federal data reveals: JENNIFER BALINGCONGAN is a Acute Care Nurse Practitioner ([object Object]) practicing in COLUMBUS, Ohio with a Medicare Part D prescribing footprint of 112 claims across 73 beneficiaries . Their CMS MIPS Final Score of 81.3083/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JENNIFER BALINGCONGAN reported a CMS MIPS final score of 81.3083 out of 100, below the 83.1 national average, and filed 112 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JENNIFER BALINGCONGAN at a glance

Near national average

NPI registry status

Active

Issued 10/30/2012

NPI 1154675122

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

24,583 US NPIs in this specialty

Medicare Part D claims

112 81% vs specialty avg

2023 prescription claims

Specialty avg: 576

MIPS final score

81.3083/100 1.7916999999999916% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Acute Care Nurse Practitioner compares to other specialties among Ohio providers

Ohio providers

Acute Care Nurse Practitioner share within Ohio

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

Medicare quality performance — MIPS

JENNIFER BALINGCONGAN's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average

Near national average
MIPS Final Score
81.3083/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Acute Care Nurse Practitioner) — 81.3083/100 vs national avg 83.1

0%100%National avg83%81.3%
MIPS final score (Acute Care Nurse Practitioner) — 81.3083/100 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).

JENNIFER BALINGCONGAN is a Acute Care Nurse Practitioner provider practicing in COLUMBUS, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1154675122. 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.

JENNIFER BALINGCONGAN appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider at 111 S GRANT AVE, COLUMBUS, OH, 43215, with a listed phone of (614) 566-8648. NPI 1154675122 was issued on 10/30/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALINGCONGAN 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 112 prescription claims written by this provider, covering 73 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 55.4%. 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 81.3083/100 for the 2023 performance year (Quality 73.5834, Cost 65.7777), compared with the national average of 83.1.

Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,583 enrolled providers across 53 states and an average of 576 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

111 S GRANT AVE
COLUMBUS, OH 43215

Provider Details

NPI 1154675122
Specialty Acute Care Nurse Practitioner
Gender Female
NPI Issued 10/30/2012

CMS Quality Score (MIPS)

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

81.3083
Final Score
Avg: 83.1
73.5834
Quality
65.7777
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JENNIFER BALINGCONGAN bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

OHIOHEALTH CORPORATION
COLUMBUS, OH

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to JENNIFER BALINGCONGAN. To verify JENNIFER BALINGCONGAN's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio 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.

112
Total Claims
$2K
Total Drug Cost
73
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
112
Total Day Supply
997
Generic Drug Cost
$736
Opioid Claims
62 (55.4% rate)

Patient Demographics

Average Patient Age
64.2 years
Avg HCC Risk Score
1.99
Gender Split
44% female / 56% male
Age Distribution
<65: 31, 65-74: 25, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Oxycodone Hcl
54
Methocarbamol
17

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Acute Care Nurse Practitioner Overview

How JENNIFER BALINGCONGAN fits within the Acute Care Nurse Practitioner landscape nationally.

24,583
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider

JENNIFER BALINGCONGAN's 112 claims are below the specialty average of 576.

Nearby Acute Care Nurse Practitioner Providers in Ohio

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

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

Frequently Asked Questions

What is JENNIFER BALINGCONGAN's specialty?
JENNIFER BALINGCONGAN specializes in Acute Care Nurse Practitioner and practices in COLUMBUS, Ohio.
How much does JENNIFER BALINGCONGAN prescribe under Medicare Part D?
In 2023, JENNIFER BALINGCONGAN wrote 112 Medicare Part D claims totaling $2K in drug costs for 73 beneficiaries.
What is JENNIFER BALINGCONGAN's Medicare quality score?
JENNIFER BALINGCONGAN has a CMS MIPS Final Score of 81.3083/100 (Quality: 73.5834, Cost: 65.7777). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JENNIFER BALINGCONGAN located?
JENNIFER BALINGCONGAN is located at 111 S GRANT AVE, COLUMBUS, OH, 43215. Phone: (614) 566-8648.
What is JENNIFER BALINGCONGAN's NPI number?
JENNIFER BALINGCONGAN's National Provider Identifier (NPI) is 1154675122, issued on 10/30/2012.
Does JENNIFER BALINGCONGAN prescribe opioids?
Yes, JENNIFER BALINGCONGAN had 62 opioid claims in 2023 with an opioid prescribing rate of 55.4%.
How many Acute Care Nurse Practitioner providers are there in the US?
There are 24,583 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
What drugs does JENNIFER BALINGCONGAN prescribe most often?
Based on 2023 Medicare Part D data, JENNIFER BALINGCONGAN's most frequently prescribed drugs include Oxycodone Hcl, Methocarbamol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JENNIFER BALINGCONGAN accept Medicare?
JENNIFER BALINGCONGAN appears in CMS Medicare data with 112 Part D claims and 73 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JENNIFER BALINGCONGAN's credentials?
JENNIFER BALINGCONGAN's NPI is 1154675122. 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