Active NPI
Miranda Yvonne Balster, APRN
- Acute Care Nurse Practitioner
- Wesley Chapel, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN9358115
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
2700 Healing Way
Suite 308
Wesley Chapel, FL 33543-5492
Phone (813) 929-5226
Hospital & facility affiliations
- Adventhealth Wesley Chapel
- Adventhealth North Pinellas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9358115 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Current | Accepting new patients | |
| Tampa Lung Specialists, P.a. | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Current | 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
- 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.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
- Pulmonary Disease Physician
- Tampa, FL
- NPI 1407971419
-
- General Practice Physician
- Tampa, FL
- NPI 1255642989
-
- Specialist
- Tampa, FL
- NPI 1013947282
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.