Individual provider Active NPI

Catherine Mary Balanda, FNP

  • Family Nurse Practitioner
  • Cadillac, MI
National Provider Identifier
1679550164
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704150578 Issued in MI
Practice address
7985 S Mackinaw TRL
Cadillac, MI 49601
Phone
(231) 876-6200
Fax
(231) 876-6299
NPI assigned
Dec 27, 2005
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704150578 MI Primary

Addresses

Primary practice location

7985 S Mackinaw TRL
Cadillac, MI 49601

Mailing address

7985 S Mackinaw TRL
Cadillac, MI 49601-8111
Phone (231) 876-6200

Other practice location 1

20095 Gilbert Rd
Big Rapids, MI 49307-2365
Phone (231) 592-1360

Other practice location 2

20095 Gilbert Rd
Big Rapids, MI 49307-2365
Phone (231) 592-1360

Other identifiers 1

IdentifierTypeStateIssuer
4697636MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbalanda@direct.mhc.net

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
I20050225000153 MI Practitioner - Nurse Practitioner 9638122021 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center ClareGroup PAC ID 7012829773, 128 clinicians

Practice addresses (Care Compare)

602 Beech St
Clare, MI 48617-1466
Phone (989) 802-5117

815 N Clare Ave
Suite a
Harrison, MI 48625-8177
Phone (989) 539-4434

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704150578MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Clare CurrentSince May 10, 2023 Accepting new patients
Mymichigan Medical Center Clare CurrentSince May 10, 2023 Accepting new patients
Munson Healthcare Cadillac Current Accepting new patients
Munson Healthcare Cadillac CurrentSince Dec 1, 2019 Accepting new patients
Munson Healthcare Cadillac CurrentSince Dec 1, 2019 Accepting new patients

Locations

3782 Momentum Pl
Chicago, IL 60689

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

7985 S Mackinaw Trl
Cadillac, MI 49601
Phone (231) 825-8101

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • Direct secure messaging: cbalanda@direct.mhc.net
  • Direct secure messaging: cbalanda138502@mymichiganhealth.midirect.net

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, 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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1679550164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7985 S MACKINAW TRL",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018111",
            "telephone_number": "231-876-6200",
            "fax_number": "231-876-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7985 S MACKINAW TRL",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "49601",
            "telephone_number": "231-876-6200",
            "fax_number": "231-876-6299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20095 Gilbert Rd",
            "address_purpose": "LOCATION",
            "city": "Big Rapids",
            "state": "MI",
            "postal_code": "493072365",
            "country_code": "US",
            "telephone_number": "231-592-1360",
            "fax_number": "231-592-1361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20095 Gilbert Rd",
            "address_purpose": "LOCATION",
            "city": "Big Rapids",
            "state": "MI",
            "postal_code": "493072365",
            "country_code": "US",
            "telephone_number": "231-592-1360",
            "fax_number": "231-592-1361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALANDA",
        "first_name": "CATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704150578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4697636",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbalanda@direct.mhc.net",
            "affiliation": "N",
            "address_1": "7985 S Mackinaw Trl",
            "city": "Cadillac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.