Individual provider Active NPI

Karla Chaney Ballew, ARNP

  • Nurse Practitioner
  • Mukilteo, WA
National Provider Identifier
1740603307
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60446757 Issued in WA
Practice address
4686 Pointes Dr Ste 219
Mukilteo, WA 98275-6038
Phone
(425) 405-8089
Fax
(425) 426-2277
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP60446757 WA
Gerontology Nurse Practitioner 363LG0600X AP60446757 WA
Nurse Practitioner 363L00000X AP60446757 WA Primary

Addresses

Primary practice location

4686 Pointes Dr Ste 219
Mukilteo, WA 98275-6038

Mailing address

4686 Pointes Dr Ste 219
Mukilteo, WA 98275-6038
Phone (425) 405-8089

Other names 1

  • Karla Silvestre Chaney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20140227001194 WA Practitioner - Nurse Practitioner 2264662881 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
Novari Primary Care LLCGroup PAC ID 3476815051, 19 clinicians

Practice addresses (Care Compare)

4686 Pointes Dr
Suite 219
Mukilteo, WA 98275-6038
Phone (425) 405-8089

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novari Primary Care LLC Nurse Practitioner CurrentSince Jan 2, 2018 Accepting new patients

Locations

4686 Pointes Dr
Ste 219
Mukilteo, WA 98275
Phone (425) 405-8089

Organizations & group practices 1

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": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1740603307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4686 POINTES DR STE 219",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982756038",
            "telephone_number": "425-405-8089",
            "fax_number": "425-426-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 POINTES DR STE 219",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982756038",
            "telephone_number": "425-405-8089",
            "fax_number": "425-426-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLEW",
        "first_name": "KARLA",
        "middle_name": "CHANEY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60446757",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60446757",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60446757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "CHANEY",
            "middle_name": "SILVESTRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mukilteo, WA

Sources for this page

Verify at the official NPI Registry.