Organization Active NPI

Balance Health Family Health NPS PLLC

  • Family Nurse Practitioner
  • Utica, NY
National Provider Identifier
1417844010
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BALANCE HEALTH FAMILY HEALTH NPS PLLC
Practice address
50 Auert Ave Ste 3
Utica, NY 13502-2326
Phone
(315) 316-0931
NPI assigned
Jun 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Fahreta OdobasicNPI 1770141822
Title
FNP-C
Phone
(315) 316-0931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

50 Auert Ave Ste 3
Utica, NY 13502-2326

Mailing address

50 Auert Ave Ste 3
Utica, NY 13502-2326
Phone (315) 316-0931

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250814001765 NY Part B Supplier - Clinic/Group Practice 5698274058 Receives reassigned benefits from 2 practitioners
Practice locations: Utica, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2330099Balance Health Family Health NPS PLLC50 Auert Ave Suite 3, Utica, NY 13502Certificate of waiverSep 9, 2027

National Provider Directory

National Provider Directory

Locations

50 Auert Ave
Ste 3
Utica, NY 13502
Phone (315) 316-0931

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1417844010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AUERT AVE STE 3",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022326",
            "telephone_number": "315-316-0931",
            "fax_number": "315-300-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AUERT AVE STE 3",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022326",
            "telephone_number": "315-316-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE HEALTH FAMILY HEALTH NPS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "ODOBASIC",
        "authorized_official_first_name": "FAHRETA",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "315-316-0931"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.