Active NPI 1063054716 Individual Practitioner Female Practitioner

Lori Paige Balchik , PNP

Nurse Practitioner - Pediatrics • Godfrey, IL

Professional Overview & Biography Verified Profile Summary

Lori Balchik, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Godfrey, IL. Practice services are available at 6702 GODFREY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6702 Godfrey Rd

Godfrey, IL 620352205

Telephone 6184671520

Associated Practice Facility / Clinic

🏢 Osf Healthcare System Facility NPI 1861041980

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Godfrey, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 9.5 Yrs

Regional Practice Density

1 Specialists

Practicing in Godfrey, IL (694 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-08

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License IL 209023988

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Bethany Huelskoetter , APN

Nurse Practitioner

NPI 1548775109

Advanced Practice Nurse

Morgan Peters , PA-C

Physician Assistant

NPI 1790295301

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2026

Nurse Practitioner (License #209023988 in IL)

📍

Updated Practice Location October 10, 2025

Registered at 6702 GODFREY RD, GODFREY, IL 620352205 (Tel: 6184671520)

📍

Updated Business Mailing Address October 10, 2025

Registered at 6702 GODFREY RD, GODFREY, IL 620352205 (Tel: 6184671520)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2025

Nurse Practitioner (License #209.023988 in IL)

📍

Updated Practice Location November 12, 2021

Registered at 1 CHILDRENS PL, DIV PED EMERGENCY MED, SAINT LOUIS, MO 631101002 (Tel: 3144542341)

📍

Updated Business Mailing Address November 12, 2021

Registered at 1 CHILDRENS PL, MSC 8515-87-1200, SAINT LOUIS, MO 631101002 (Tel: 3144542644)

👤

Provider Name / Credentials Updated November 12, 2021

Recorded as LORI BALCHIK, PNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2021

Nurse Practitioner (License #2021017262 in MO)

✅

NPI Profile Active October 15, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2019

Registered at 277 BUDDY GANEM DR STE A, PORTLAND, TX 783743202 (Tel: 3617773900)

📍

Updated Business Mailing Address October 15, 2019

Registered at 277 BUDDY GANEM DR STE A, PORTLAND, TX 783743202 (Tel: 3617773900)

👤

Provider Name / Credentials Updated October 15, 2019

Recorded as LORI BALCHIK, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2019

Nurse Practitioner (License #743289 in TX)

🟢

Initial NPI Registration & Enumeration October 15, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063054716

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 15, 2019

Last Update: May 08, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6702 Godfrey Rd

Godfrey, IL 620352205

Phone: 6184671520

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.