DR. MICHELE MARIE BALLISTER DNP APRN CRNA CHSE
NPI 1003054586
Nurse Anesthetist, Certified Registered in Lagrange, GA

Q: What is Michele Ballister's NPI number?

The NPI number for Michele Ballister is 1003054586. It was assigned to this individual provider in the NPPES registry on January 22, 2009.

Q: What is Michele Ballister's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Michele Ballister was last updated on April 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 22, 2009Accepts Medicare Assignment

1514 VERNON RD, LAGRANGE, GA 30240(706) 822-1411 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2024, Feb 13, 2023, Jul 19, 2022 (3 updates tracked since 2022).

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About Dr. Michele Marie Ballister Dnp Aprn Crna Chse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELE MARIE BALLISTER DNP APRN CRNA CHSE (NPI 1003054586) is an individual nurse anesthetist, certified registered in Lagrange, Georgia, licensed in South Carolina (3758) and active in the NPI registry since January 2009. She is affiliated with Wellstar Spalding Medical Center, maintains a secondary practice location in Charleston, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1003054586

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameDR. MICHELE MARIE BALLISTERCredential: DNP APRN CRNA CHSE

Location Address1514 VERNON RDLagrange, GA 30240-4131

Mailing AddressPo Box 603484Charlotte, NC 28260-3484 · (803) 765-1838 · Fax (803) 765-1732

Phone(706) 822-1411

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateJanuary 22, 2009

Last NPPES UpdateApril 29, 20243 updates tracked since enumeration

NPPES CertifiedApril 29, 2024

✔ NPI 1003054586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in SC · 3758✔ Licensed in GA · 289363

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1514 VERNON RD, Lagrange, GA 30240

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Secondary Practice Location 1

Location 12095 Henry Tecklenburg DrCharleston, SC 29414-5733 · Phone (843) 402-1436 · Fax (843) 402-1833

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michele Marie Ballister Dnp Aprn Crna Chse is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880759745

PECOS Enrollment IDI20221130001832

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number110031

Location601 South 8th StreetGriffin, GA 30224 · Spalding County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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