ALEJANDRA BALDERAS
NPI 1013754225
Nurse Practitioner - Family in Munster, IN
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 St Mary Medical Center Inc, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Alejandra Balderas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Munster, IN 46321
- Reassigned Medicare billing, Indiana enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary Medical Center Inc
Acute Care Hospitals · Hobart, INNorthwest Health - Porter
Acute Care Hospitals · Valparaiso, INCommunity Hospital
Acute Care Hospitals · Munster, INPhysician 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.
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.
MUNSTER, IN 46321
MUNSTER, IN 46321
MUNSTER, IN 46321
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.
Which organization bills Medicare for Alejandra Balderas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alejandra Balderas reassigns Medicare benefits to Gn Endocrinology Ltd (Munster, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alejandra Balderas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alejandra Balderas accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and 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 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 24 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.
# Alejandra Balderas · NPI 1013754225
Family physician in Munster, Indiana. Individual provider, active in the CMS NPPES registry since July 15, 2024.
## Identity
- **NPI:** 1013754225 (Entity type: Individual)
- **Enumerated:** July 15, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F04240228 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 10012 CALUMET AVE STE A, Munster, IN 46321-4055
- **Phone:** (219) 227-5119
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gn Endocrinology Ltd (NPI 1154799690, Munster, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013754225) · Data from the CMS NPPES public registry.