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

Individual provider Acute Care Nurse Practitioner · NPI 1376027557

Mr. Charles Douglas Balcome, ACNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2018, 8 years ago. Practices with Acute Care Surgical Specialists LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

16601 N 40th St Ste 204
Phoenix, AZ 85032-3356
Phone: (602) 633-3721
Fax: (602) 595-1127
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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 AP11604 (AZ)

Record details

NPI number1376027557
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP
Sole proprietorNo
NPI enumeratedSeptember 24, 2018
Last updated in NPPESOctober 20, 2021
Certification dateOctober 20, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Acute Care Surgical Specialists Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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