Elizabeth Anne Baljak, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.11381-NP Issued in OH

Practice address

8535 Refugee Rd
Pickerington, OH 43147-9625

Phone

(740) 205-2007

Fax

(877) 384-2597

NPI assigned

Jun 2, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elizabeth Anne Lacasce Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrative Health Providers LLC

  • Family Nurse Practitioner
  • Pickerington, OH
  • NPI 1568948560
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1215257175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430620725",
            "telephone_number": "740-975-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8535 REFUGEE RD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479625",
            "telephone_number": "740-205-2007",
            "fax_number": "877-384-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALJAK",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.11381-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075014",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "address_1": "8535 Refugee Rd",
            "city": "Pickerington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431479625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LACASCE",
            "middle_name": "ANNE",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Louise Baker, BA
• Maurisa Baker, MPT
• Timothy Baker
• Mihir Ramesh Bakhru, MD
• Travis Jacob Bales
• Christopher James Ballance
• Balm of Gilead Healthcare
• John Assan Banahene, PHARMD
• Jason L Barfield, MD
• Jennifer Barkley

• Family Nurse Practitioner in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.