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

Thomas Balcom, NP-C

Individual provider Family Nurse Practitioner · NPI 1316766637

Thomas Balcom, NP-C is a Nurse Practitioner in Dallas, Oregon. Qualified in 2024, 2 years ago. Practices with Praxis Health PC, a 176-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2024
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

531 SE Clay St
Dallas, OR 97338-2865
Phone: (971) 612-6100
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10033401 (OR)

Record details

NPI number1316766637
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 3, 2024
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 1517, Pendleton, OR 97801-0410

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 Praxis Health Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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