ERICA NICOLE BALYSH D.O.
NPI 1023377645
Family Medicine in Warren, MI
About Erica Nicole Balysh D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICA NICOLE BALYSH D.O. (NPI 1023377645) is an individual family medicine provider in Warren, Michigan, licensed in Michigan (5101019770) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Michigan State University College Of Human Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
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
Erica Nicole Balysh D.o. 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 Erica Balysh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Warren, MI 48092
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Michigan Healthcare Professionals PC
- 741 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.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St John Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48088 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Erica Balysh's NPI number?
The NPI number for Erica Balysh is 1023377645. It was assigned to this individual provider in the NPPES registry on May 16, 2012.
Where is Erica Balysh located?
Erica Balysh practices at 27450 Schoenherr Rd Ste. 400, Warren, MI 48088. The listed phone number is (586) 582-7550.
What is Erica Balysh's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Erica Balysh enrolled in Medicare?
Yes. Erica Balysh 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 Erica Balysh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erica Balysh reassigns Medicare benefits to Michigan Healthcare Professionals, P.C. (Warren, MI). 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 Erica Balysh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erica Balysh accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Erica Balysh 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 Erica Balysh affiliated with any hospitals?
According to CMS data, Erica Balysh is affiliated with Ascension St John Hospital.
When was this NPI record last updated?
The NPPES record for Erica Balysh was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Erica Nicole Balysh, D.O. · NPI 1023377645
Family Medicine physician in Warren, Michigan. Individual provider, active in the CMS NPPES registry since May 16, 2012.
## Identity
- **NPI:** 1023377645 (Entity type: Individual)
- **Enumerated:** May 16, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 5101019770 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 27450 SCHOENHERR RD, STE. 400, Warren, MI 48088-6683
- **Phone:** (586) 582-7550 · **Fax:** (586) 582-7515
## 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:** Michigan Healthcare Professionals, P.C. (NPI 1568285872, Warren, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Human Medicine, class of 2012
## Record status
- **NPPES last updated:** December 3, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1023377645) · Data from the CMS NPPES public registry.