MRS. HELENA PUHALJ P.A.-C
NPI 1386756740
Physician Assistant in Kalamazoo, MI

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
85.33/100
CMS Quality Rating
535 S BURDICK ST, KALAMAZOO, MI 49007(269) 341-8822(269) 341-7518 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2020, Aug 8, 2019 (2 updates tracked since 2019).

About Mrs. Helena Puhalj P.a.-c NPPES

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

MRS. HELENA PUHALJ P.A.-C (NPI 1386756740) is an individual physician assistant in Kalamazoo, Michigan, licensed in Michigan (5601002338) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1386756740
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. HELENA PUHALJCredential: P.A.-C
Location Address535 S BURDICK STKalamazoo, MI 49007-5294
Mailing Address535 S Burdick StKalamazoo, MI 49007-5294 · (269) 341-8822 · Fax (269) 341-7518
Fax(269) 341-7518
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
NPI 1386756740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601002338
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5601002338 (MI)
535 S BURDICK ST, Kalamazoo, MI 49007

Other Identifiers 2

Medicaid1386756740MI
Other1417961137MI · Bcbsm - Bmh

Accepted 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

Mrs. Helena Puhalj P.a.-c 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 ID749350338
PECOS Enrollment IDI20080609000720
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
283 services44 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
33 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
12 services12 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49007 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

85.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.66
Promoting Interoperability100
Improvement Activities40
Cost71.44

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Medically Fragile Infants and Children Day Care)
535 S BURDICK ST, SUITE 254
KALAMAZOO, MI 49007
Internal Medicine
535 S BURDICK ST
KALAMAZOO, MI 49007
Internal Medicine
535 S BURDICK ST, #248
KALAMAZOO, MI 49007
Physician Assistant
535 S BURDICK ST, SUITE 160
KALAMAZOO, MI 49007
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
535 S BURDICK ST, STE 110
KALAMAZOO, MI 49007
Internal Medicine
535 S BURDICK ST, SUITE 256
KALAMAZOO, MI 49007
Internal Medicine (Pulmonary Disease)
535 S BURDICK ST, SUITE 160
KALAMAZOO, MI 49007
Social Worker (Clinical)
535 S BURDICK ST, SUITE 254
KALAMAZOO, MS 49007

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 Helena Puhalj's NPI number?

The NPI number for Helena Puhalj is 1386756740. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Helena Puhalj located?

Helena Puhalj practices at 535 S Burdick St, Kalamazoo, MI 49007. The listed phone number is (269) 341-8822.

What is Helena Puhalj's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Helena Puhalj enrolled in Medicare?

Yes. Helena Puhalj 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 Helena Puhalj accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Helena Puhalj 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.

When was this NPI record last updated?

The NPPES record for Helena Puhalj was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.