Individual provider Active NPI

Natalya Balanetskaya, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukie, OR
National Provider Identifier
1437405891
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202111333NP-PP Issued in OR
Practice address
10202 SE 32ND Ave Ste 701
Milwaukie, OR 97222-3625
Phone
(971) 345-5060
NPI assigned
Aug 2, 2012
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201250039NP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202111333NP-PP OR Primary

Addresses

Primary practice location

10202 SE 32ND Ave Ste 701
Milwaukie, OR 97222-3625

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494

Other practice location 1

5100 S MacAdam Ave Ste 200
Portland, OR 97239-3827
Phone (971) 202-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20121116000153 OR Practitioner - Nurse Practitioner 4082865266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

9155 SW Barnes Rd
Portland, OR 97225-6630

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
202111333NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Feb 28, 2022 Accepting new patients
Housecall Providers Inc Current Accepting new patients
Providence Health & Services Oregon CurrentSince Feb 28, 2022 Accepting new patients

Locations

10202 SE 32nd Ave
Ste 701
Portland, OR 97222
Phone (503) 496-3201

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

5100 S Macadam Ave
Ste 200
Portland, OR 97239
Phone (971) 202-5500

Interoperability endpoints

  • Direct secure messaging: natalyabalanetskaya@hpi.allscriptsdirect.net

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1437405891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10202 SE 32ND AVE STE 701",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972223625",
            "telephone_number": "971-345-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 S MacAdam Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393827",
            "country_code": "US",
            "telephone_number": "971-202-5500",
            "fax_number": "971-202-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALANETSKAYA",
        "first_name": "NATALYA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201250039NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202111333NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.