MS. KRISTINE BALASH (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063233609

MS. KRISTINE BALASH (PMHNP-BC) is a healthcare provider. based in Sault sainte marie, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 4704218830 (MI). The NPI Number for MS. KRISTINE BALASH (PMHNP-BC) is 1063233609

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MS. KRISTINE BALASH (PMHNP-BC)
NPI
1063233609
Phone
(248) 953-0359
Address
1408 ASHMUN ST
Enumeration Date
17 October 2024
Last Update Date
25 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9062257210
Graduation Year
2024 (2 years ago)
PAC ID
9537676333
Group Practice PAC ID
4284626391
Professional Enrollment ID
I20250728000857
Address ID
MI498554661MA200XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MS. KRISTINE BALASH (PMHNP-BC)

  • 1408 ASHMUN ST

    SAULT SAINTE MARIE, MI 497832864

    Phone: (248) 953-0359

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250728000857INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49783)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284626391View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeFL
Clinical Social WorkerMI
Nurse PractitionerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
Occupational Therapist In Private PracticeWI
-MI

Reviews

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Frequently asked questions

Where can patients find MS. KRISTINE BALASH (PMHNP-BC)'s NPI?
You can confirm MS. KRISTINE BALASH (PMHNP-BC) with NPI 1063233609; it appears in the national provider directory.
Is MS. KRISTINE BALASH (PMHNP-BC)'s NPI currently valid?
The extract we use shows MS. KRISTINE BALASH (PMHNP-BC) as active.
What field does MS. KRISTINE BALASH (PMHNP-BC) work in?
You can think of MS. KRISTINE BALASH (PMHNP-BC) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. KRISTINE BALASH (PMHNP-BC)'s primary listing?
We display Sault Sainte Marie, Michigan because that is what the record indicates for MS. KRISTINE BALASH (PMHNP-BC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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