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

Dr. Michael Ballard, DNP

Individual provider Acute Care Nurse Practitioner · NPI 1215620463

Dr. Michael Ballard, DNP is a Nurse Practitioner in New York, New York. Qualified in 2024, 2 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
2
Licensed in
NJ, NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

1111 Amsterdam Ave
New York, NY 10025-1716
Phone: (212) 636-1353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 432634 (NY)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 26NJ14881400 (NJ)

Record details

NPI number1215620463
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorYes
NPI enumeratedJune 1, 2023
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024

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 Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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