Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Balcom

Individual provider Ambulatory Women's Health Care Registered Nurse · NPI 1831927466

Angela Balcom is a Nurse Practitioner in Revere, Massachusetts. Qualified in 2024, 2 years ago. Practices with Hallmark Health Medical Associates Inc, a 149-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

310 Broadway
Revere, MA 02151-5035
Phone: (781) 289-2266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 710 Quinnipiac Ave, New Haven, CT 06513-4007 — (203) 503-3000

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence RN10013081 (MA)
Ambulatory Women's Health Care Registered Nurse Taxonomy 163WW0101X · Licence RN10013081 (MA)

Record details

NPI number1831927466
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 24, 2024
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024
Mailing address710 Quinnipiac Ave, New Haven, CT 06513-4007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Hallmark Health Medical Associates Inc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount