Individual provider Active NPI

Cassandra Balon, M.D.

  • Obstetrics & Gynecology Physician
  • Fort Collins, CO
National Provider Identifier
1548624992
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0063801 Issued in CO
Practice address
1107 S Lemay Ave Ste 300
Fort Collins, CO 80524-3955
Phone
(970) 493-7442
Fax
(970) 493-2990
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DR.0063801 CO Primary

Addresses

Primary practice location

1107 S Lemay Ave Ste 300
Fort Collins, CO 80524-3955

Mailing address

1107 S Lemay Ave Ste 300
Fort Collins, CO 80524-3955
Phone (970) 493-7442

Other practice location 1

2500 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9004
Phone (970) 493-7442

Other names 1

  • Cassandra Yoder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200903001077 CO Practitioner - Obstetrics/Gynecology 8123396306 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Collins Womens Clinic PCGroup PAC ID 3971492711, 33 clinicians

Practice addresses (Care Compare)

1107 S Lemay Ave
Suite 300
Fort Collins, CO 80524-3955
Phone (970) 493-7442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0063801COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Community Health Center Inc Current Accepting new patients
Fort Collins Women'S Clinic, PC Obstetrics & Gynecology CurrentSince Aug 3, 2023 Accepting new patients
Poudre Valley Health Care Inc CurrentSince Dec 31, 2023 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Oct 15, 2020 Accepting new patients
Fort Collins Women'S Clinic, P.C. CurrentSince Aug 3, 2023 Accepting new patients
Poudre Valley Health Care Inc. Current Accepting new patients
Pueblo Community Health Center Inc CurrentSince Oct 15, 2020 Accepting new patients
Poudre Valley Medical Group, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

1025 Pennock Pl
Ste 114
Fort Collins, CO 80524
Phone (970) 495-8800

1107 S Lemay Ave
Ste 300
Fort Collins, CO 80524
Phone (970) 493-7442

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

2500 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 493-7442

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718

Interoperability endpoints

  • Direct secure messaging: cassandra.balonmd.p1@direct.thewomensclinic.nextgenshare.com

Organizations & group practices 8

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1548624992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S LEMAY AVE STE 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243955",
            "telephone_number": "970-493-7442",
            "fax_number": "970-493-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S LEMAY AVE STE 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243955",
            "telephone_number": "970-493-7442",
            "fax_number": "970-493-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Rocky Mountain Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805389004",
            "country_code": "US",
            "telephone_number": "970-493-7442",
            "fax_number": "970-493-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALON",
        "first_name": "CASSANDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0063801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "YODER",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.