CAITLIN NOELANI BALAWENDER AGACNP-BC
NPI 1356887426
Nurse Practitioner in Cartersville, GA

Q: What is Caitlin Balawender's NPI number?

The NPI number for Caitlin Balawender is 1356887426. It was assigned to this individual provider in the NPPES registry on January 13, 2017.

Q: What is Caitlin Balawender's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 13, 2017PECOS EnrolledAccepts Medicare Assignment

150 GENTILLY BLVD, CARTERSVILLE, GA 30120(470) 490-6670(770) 382-5762 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2024, Nov 16, 2023, Jan 13, 2017 (3 updates tracked since 2017).

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About Caitlin Noelani Balawender Agacnp-bc NPPES

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

CAITLIN NOELANI BALAWENDER AGACNP-BC (NPI 1356887426) is an individual nurse practitioner in Cartersville, Georgia, licensed in Georgia (GAA-NP001513) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356887426

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCAITLIN NOELANI BALAWENDERCredential: AGACNP-BC

Location Address150 GENTILLY BLVDCartersville, GA 30120-8522

Mailing Address221 Technology Pkwy NwRome, GA 30165-1369 · (762) 235-1000

Phone(470) 490-6670

Fax(770) 382-5762

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 13, 2017

Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1356887426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · GAA-NP001513

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

150 GENTILLY BLVD, Cartersville, GA 30120

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Caitlin Noelani Balawender Agacnp-bc 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 ID6305120536

PECOS Enrollment IDI20231129001235

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.

Medicare Billing Reassignments

Medicare enrollment records show Caitlin Balawender reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC

0.9 mi

Surgery

10 CLOVERLEAF DR
Cartersville, GA 30120

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1508298142 (770) 386-1261

Harbin Clinic, LLC

23 mi

Multi-Specialty

1825 MARTHA BERRY BLVD NW
Rome, GA 30165

Reassigned Medicare billing, Georgia enrollment
332 clinicians in this Medicare group

NPI 1679599088 (762) 235-1470

Polaris Heart & Vascular PLLC

517 mi

Cardiovascular Disease

4004 GENESEE PL, SUITE 105
Woodbridge, VA 22192

Reassigned Medicare billing, Virginia enrollment
10 clinicians in this Medicare group

NPI 1043648363 (855) 739-9953

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

116 services87 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

40 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110035

Location677 Church StreetMarietta, GA 30060 · Cobb County

Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110042

Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30120 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 20

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

DONNA WATTERS GREGORY MD

Family Medicine