ELIZABETH ANNE BALJAK (CNP) – Family Nurse Practitioner, NPI 1215257175
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for ELIZABETH ANNE BALJAK (CNP)
8535 REFUGEE RD
PICKERINGTON, OH 431479625
Phone: (740) 205-2007
Fax: (877) 384-2597
Type: Location
915 ADAIR AVE
ZAINESVILLE, OH 43701
Phone: (740) 975-4278
Type: Mailing
PO BOX 725
PATASKALA, OH 430620725
Phone: (740) 975-4278
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 173 Open Payments records for all available years, with a total value of $3,176.
Total Amount is formed as General ($3,176) + Research ($0) + Ownership ($0) = $3,176.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,256).
Total Amount
$3,176
General + Research + Ownership
Payments
173
Total payment records
General Amount
$3,176
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,256 |
| Otsuka America Pharmaceutical, Inc. | $449 |
| Dexcom, Inc. | $229 |
| Alkermes, Inc. | $208 |
| Axsome Therapeutics, Inc. | $143 |
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: 2010-06-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100624000513 | I | Nurse Practitioner | OH | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 63 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 13 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 23 | 13 | $0 |
Insurance plans in this area (ZIP 43147)
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