NPI registry status
Active
2026 NPPES data Acute Care Nurse Practitioner NPI 1467069583 AGACNP
Verify on CMS → Ma Teresa Justine Balboa, AGACNP
Acute Care Nurse Practitioner in New York, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,583 in Acute Care Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
102
Medicare Part D claims · 40 beneficiaries · Acute Care Nurse Practitioner avg: 576
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Ma Teresa Justine Balboa, AGACNP filed 102 Medicare Part D claims in 2023 as a Acute Care Nurse Practitioner in New York, New York.
- 102
- Part D claims, 2023
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Ma Teresa Justine Balboa, AGACNP's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
102 35th percentile higher than 35% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Ma Teresa Justine Balboa, AGACNP?
Quality data not reportedPrimary specialty
Acute Care Nurse Practitioner
Medicare Part D claims
102 82% vs specialty avg
Specialty distribution in New York
How Acute Care Nurse Practitioner compares to other specialties among New York providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Acute Care Nurse Practitioner. Verify directly:
How MIPS and board certification work
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).
Ma Teresa Justine Balboa, AGACNP appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider holding AGACNP credentials at 1468 MADISON AVE, New York, NY, 10029, with a listed phone of (212) 241-6500. NPI 1467069583 was issued on 09/24/2020.
Medicare Part D records for calendar year 2023 show 102 prescription claims written by this provider, covering 40 Medicare beneficiaries and totaling roughly $6K in drug spend.
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
Provider Details
| NPI | 1467069583 |
|---|---|
| Specialty | Acute Care Nurse Practitioner |
| Credentials | AGACNP |
| Gender | Female |
| NPI Issued | 09/24/2020 |
Hospital and facility affiliations
Facilities where Ma Teresa Justine Balboa, AGACNP 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.
North Shore-Lij Medical PC
Forest Hills, NY
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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Ma Teresa Justine Balboa, AGACNP. To verify Ma Teresa Justine Balboa, AGACNP's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York 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.
102
Total Claims
$6K
Total Drug Cost
40
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 109
- Total Day Supply
- 1,935
- Generic Drug Cost
- $2K
- Antibiotic Claims
- 23
Patient Demographics
- Average Patient Age
- 77.0 years
- Avg HCC Risk Score
- 2.82
- Gender Split
- 65% female / 35% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Prednisone | 11 |
* 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 Ma Teresa Justine Balboa, AGACNP 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
Ma Teresa Justine Balboa, AGACNP's 102 claims are below the specialty average of 576.
Nearby Acute Care Nurse Practitioner Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Balboa.
Jay Raymond Abad
New York, NY
Dr. Michelle Abboud
N.P.
New York, NY
Germeen Abdelmessih
New York, NY
Danny Abdelqader
New York, NY
Alvin Abella
New York, NY
Compare Acute Care Nurse Practitioner nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Acute Care Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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How to Find a Doctor
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore New York
Frequently Asked Questions
What is Ma Teresa Justine Balboa, AGACNP's specialty? ▼
Ma Teresa Justine Balboa, AGACNP specializes in Acute Care Nurse Practitioner and practices in New York, New York. Credentials: AGACNP.
How much does Ma Teresa Justine Balboa, AGACNP prescribe under Medicare Part D? ▼
In 2023, Ma Teresa Justine Balboa, AGACNP wrote 102 Medicare Part D claims totaling $6K in drug costs for 40 beneficiaries.
Where is Ma Teresa Justine Balboa, AGACNP located? ▼
Ma Teresa Justine Balboa, AGACNP is located at 1468 MADISON AVE, New York, NY, 10029. Phone: (212) 241-6500.
What is Ma Teresa Justine Balboa, AGACNP's NPI number? ▼
Ma Teresa Justine Balboa, AGACNP's National Provider Identifier (NPI) is 1467069583, issued on 09/24/2020.
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 Ma Teresa Justine Balboa, AGACNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Ma Teresa Justine Balboa, AGACNP's most frequently prescribed drugs include Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ma Teresa Justine Balboa, AGACNP accept Medicare? ▼
Ma Teresa Justine Balboa, AGACNP appears in CMS Medicare data with 102 Part D claims and 40 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ma Teresa Justine Balboa, AGACNP's credentials? ▼
Ma Teresa Justine Balboa, AGACNP's NPI is 1467069583 with credentials AGACNP. 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
View source datasets and methodology notes
- 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.