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Allison Rae Ballard

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

888 S Rancho Dr, Las Vegas, NV 89106-3810

PECOS Enrollment

This provider is enrolled in PECOS as ALLISON BALLARD.

Based on the most recent information from CMS, provider Allison Rae Ballard is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1972026219
Provider Type
Individual
Full Name
Ballard, Allison Rae
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
7/19/2017
Last Updated
10/23/2025

Contact Information

Practice Location

888 S Rancho Dr, Las Vegas, NV 89106-3810

(702) 877-5199

Unlisted Fax

Mailing Location

PO Box 35380, Las Vegas, NV 89133-5380

(702) 383-6210

(702) 435-7050

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 818776 Nevada
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License RN.0124135 Colorado
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APN.0993228-NP Colorado

Allison Rae Ballard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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