Individual provider Active NPI

Helena Puhalj, P.A.-C

  • Physician Assistant
  • Kalamazoo, MI
National Provider Identifier
1386756740
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601002338 Issued in MI
Practice address
535 S Burdick St
Kalamazoo, MI 49007-5294
Phone
(269) 341-8822
Fax
(269) 341-7518
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601002338 MI
Physician Assistant 363A00000X 5601002338 MI Primary

Addresses

Primary practice location

535 S Burdick St
Kalamazoo, MI 49007-5294

Mailing address

535 S Burdick St
Kalamazoo, MI 49007-5294
Phone (269) 341-8822

Other identifiers 2

IdentifierTypeStateIssuer
1386756740MedicaidMI
1417961137OtherMIBCBSM - BMH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20080609000720 MI Practitioner - Physician Assistant 0749350338 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychplus Associates of Michigan, PLLCGroup PAC ID 7911345764, 26 clinicians

Practice addresses (Care Compare)

5901 Chase Rd
Suite 210
Dearborn, MI 48126-0900
Phone (832) 869-4818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital Physician Assistant CurrentSince Sep 1, 2019 Accepting new patients
Psychplus Medical Associates of Michigan, PLLC CurrentSince Feb 6, 2026 Accepting new patients
Theoria Medical Physician Assistant CurrentSince May 29, 2023 Accepting new patients
Bronson Methodist Hospital Physician Assistant CurrentSince Jan 1, 2015 Accepting new patients
Health Imperatives Inc. PastSince Aug 1, 2023 Accepting new patients

Locations

126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

290 Town Center Dr
Ste 141
Dearborn, MI 48126

5901 Chase Rd
Ste 210
Dearborn, MI 48126
Phone (313) 945-6650

15400 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 207-5767

3512 Coolidge Rd
East Lansing, MI 48823
Phone (517) 318-5889

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

1717 Shaffer St
Ste 209
Kalamazoo, MI 49048
Phone (269) 342-2991

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

535 S Burdick St
Kalamazoo, MI 49007
Phone (269) 341-8822

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/81ae421e-0273-40bd-85b5-5e4a188d476b/
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1386756740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S BURDICK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075294",
            "telephone_number": "269-341-8822",
            "fax_number": "269-341-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S BURDICK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075294",
            "telephone_number": "269-341-8822",
            "fax_number": "269-341-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUHALJ",
        "first_name": "HELENA",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002338",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386756740",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM - BMH",
            "identifier": "1417961137",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.