Individual provider Active NPI

Miranda Yvonne Balster, APRN

  • Acute Care Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1922584929
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN9358115 Issued in FL
Practice address
2700 Healing Way Ste 308
Wesley Chapel, FL 33543-5492
Phone
(813) 929-5226
Fax
(813) 929-5332
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN9358115 FL Primary

Addresses

Primary practice location

2700 Healing Way Ste 308
Wesley Chapel, FL 33543-5492

Mailing address

2700 Healing Way Ste 308
Wesley Chapel, FL 33543-5492
Phone (813) 929-5226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190709002424 FL Practitioner - Nurse Practitioner 8325373640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

2700 Healing Way
Suite 308
Wesley Chapel, FL 33543-5492
Phone (813) 929-5226

Hospital & facility affiliations

  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9358115FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince Jan 10, 2022 Accepting new patients
Tampa Lung Specialists, P.a. CurrentSince Sep 22, 2020 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Jan 10, 2022 Accepting new patients
Raul Sierra MD PA Past Accepting new patients
Tampa Bay Pulmonary Associates,P.a. Past Accepting new patients

Locations

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

1601 W Timberlane Dr
Ste 700
Plant City, FL 33566
Phone (813) 879-3699

4129 N Armenia Ave
Ste B
Tampa, FL 33607
Phone (813) 877-7526

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

4129 N Armenia Ave
Tampa, FL 33607
Phone (813) 870-3342

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

2700 Healing Way
Ste 308
Wesley Chapel, FL 33543
Phone (813) 929-5226

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHIHBA

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1922584929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HEALING WAY STE 308",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435492",
            "telephone_number": "813-929-5226",
            "fax_number": "813-929-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HEALING WAY STE 308",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435492",
            "telephone_number": "813-929-5226",
            "fax_number": "813-929-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSTER",
        "first_name": "MIRANDA",
        "middle_name": "YVONNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN9358115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.