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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEJANDRA BALDERAS
NPI 1013754225
Nurse Practitioner - Family in Munster, IN

Active since July 15, 2024PECOS Enrolled
10012 CALUMET AVE STE A, MUNSTER, IN 46321(219) 227-5119 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 9, 2026, Jul 15, 2024 (2 updates tracked since 2024).

About Alejandra Balderas NPPES

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

ALEJANDRA BALDERAS (NPI 1013754225) is an individual family provider in Munster, Indiana, licensed in Indiana (F04240228) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013754225
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEJANDRA BALDERAS
Location Address10012 CALUMET AVE STE AMunster, IN 46321-4055
Mailing Address10288 Brushfield LnFishers, IN 46037-8494 · (219) 671-7443
Phone(219) 227-5119
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 15, 2024
Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1013754225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · F04240228
10012 CALUMET AVE STE A, Munster, IN 46321
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1401 Wall St Unit CValparaiso, IN 46383-2585 · Phone (219) 227-5119
Location 2174 Bracken PkwyHobart, IN 46342-6789 · Phone (219) 227-5119

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Alejandra Balderas 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 ID4284160342
PECOS Enrollment IDI20241212001101
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 5

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

ANDREA DARROL
Nurse Practitioner (Family)
10012 CALUMET AVE STE A
MUNSTER, IN 46321
Lake County (219) 227-5119
GN ENDOCRINOLOGY LTD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
10012 CALUMET AVE STE A
MUNSTER, IN 46321
Lake County (219) 227-5119
MRS. KIRSTEN O'BLOCK BETKOWSKI FNP-C
Nurse Practitioner (Family)
10012 CALUMET AVE STE A
MUNSTER, IN 46321
Lake County (219) 227-5119
MRS. JACQUELYN RAQUEL ADLEY NP-C
Nurse Practitioner (Family)
10012 CALUMET AVE STE A
MUNSTER, IN 46321
Lake County (219) 227-5119
LISA PORADZISZ
Nurse Practitioner (Family)
10012 CALUMET AVE STE A
MUNSTER, IN 46321
Lake County (219) 227-5119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alejandra Balderas's NPI number?

The NPI number for Alejandra Balderas is 1013754225. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Alejandra Balderas located?

Alejandra Balderas practices at 10012 Calumet Ave Ste A, Munster, IN 46321. The listed phone number is (219) 227-5119.

What is Alejandra Balderas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alejandra Balderas enrolled in Medicare?

Yes. Alejandra Balderas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alejandra Balderas accept?

Health plans from CareSource list Alejandra Balderas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alejandra Balderas affiliated with any hospitals?

According to CMS data, Alejandra Balderas is affiliated with Northwestern Medicine Central Dupage Hospital, Northwest Health-La Porte, St Mary Medical Center Inc, Northwest Health - Porter and Community Hospital.

When was this NPI record last updated?

The NPPES record for Alejandra Balderas was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.