Individual provider Active NPI

Magdalena Balan, CNP

  • Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1447379334
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704214887 Issued in MI
Practice address
840 Oakwood Blvd
Dearborn, MI 48124-2319
Phone
(313) 359-7600
Fax
(313) 359-7660
NPI assigned
Mar 29, 2007
Last updated
Aug 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704214887 MI Primary

Addresses

Primary practice location

840 Oakwood Blvd
Dearborn, MI 48124-2319

Mailing address

840 Oakwood Blvd
P.O. Box 2802
Dearborn, MI 48124-2319
Phone (313) 359-7600

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
I20070912000864 MI Practitioner - Nurse Practitioner 5698868289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Harris Birkhill Wang Songe and Assoc PCGroup PAC ID 3779495338, 63 clinicians

Practice addresses (Care Compare)

18100 Oakwood Blvd
Suite 200
Dearborn, MI 48124-4085
Phone (313) 593-7301

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7301

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704214887MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Harris Birkhill Wang Songe & Assoc PC CurrentSince Aug 24, 2014 Accepting new patients
Oakwood Healthcare Inc Past Accepting new patients

Locations

18100 Oakwood Blvd
Ste 200
Dearborn, MI 48124
Phone (313) 438-7715

840 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 359-7600

Organizations & group practices 2

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 5

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1447379334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 OAKWOOD BLVD",
            "address_2": "P.O. BOX 2802",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242319",
            "telephone_number": "313-359-7600",
            "fax_number": "313-359-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242319",
            "telephone_number": "313-359-7600",
            "fax_number": "313-359-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAN",
        "first_name": "MAGDALENA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704214887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.