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YELENA BALABAN FNP-BC
NPI 1548802598
Nurse Practitioner - Family in Algonquin, IL

Active since October 11, 2019PECOS EnrolledAccepts Medicare Assignment
1345 RYAN PKWY, ALGONQUIN, IL 60102(847) 658-9555(847) 658-2167 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 21, 2025, May 10, 2024, Dec 17, 2021 and 2 more (5 updates tracked since 2019).

About Yelena Balaban Fnp-bc NPPES

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

YELENA BALABAN FNP-BC (NPI 1548802598) is an individual family provider in Algonquin, Illinois, licensed in Illinois (277-002232) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1548802598
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameYELENA BALABANCredential: FNP-BC
Location Address1345 RYAN PKWYAlgonquin, IL 60102-4530
Mailing Address29373 Network PlChicago, IL 60673-6029 · (847) 390-5900
Phone(847) 658-9555
Fax(847) 658-2167
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 11, 2019
Last NPPES UpdateFebruary 21, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1548802598 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 IL · 277-002232
1345 RYAN PKWY, Algonquin, IL 60102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Yelena Balaban Fnp-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 ID3779915087
PECOS Enrollment IDI20191107000164
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 10

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.
162 services130 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
104 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
87 services79 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
35 services35 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60102 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 10

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

HEATHER MECHELLE CLOUM M.D.
Family Medicine
1345 RYAN PKWY
ALGONQUIN, IL 60102
McHenry County (847) 658-9555
DR. SAMEENA JAWED M.D.
Family Medicine
1345 RYAN PKWY
ALGONQUIN, IL 60102
McHenry County (847) 658-9555
DR. MARIA JISNA KURUPPATH MD
Family Medicine
1345 RYAN PKWY
ALGONQUIN, IL 60102
McHenry County (847) 658-9555
ALLZ FAMILY PRACTICE PHYSICIANS, SC
Family Medicine
1345 RYAN PKWY
ALGONQUIN, IL 60102
McHenry County (847) 658-9555
FRAAZ M SIDDIQUI APN
Nurse Practitioner
1345 RYAN PKWY
ALGONQUIN, IL 60102
McHenry County (847) 658-9555
MS. ELVIE J LENTH PT
Physical Therapist
1345 RYAN PKWY, SUITE 2
ALGONQUIN, IL 60102
McHenry County (847) 458-5072
MRS. DAWN KOTERBSKI PA-C
Physician Assistant
1345 RYAN PKWY
ALGONQUIN, IL 60102
McHenry County (847) 658-9555
MS. KATHLEEN ELIZABETH MCNAMARA PT
Physical Therapist
1345 RYAN PKWY, SUITE 4
ALGONQUIN, IL 60102
McHenry County (847) 458-5072

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 Yelena Balaban's NPI number?

The NPI number for Yelena Balaban is 1548802598. It was assigned to this individual provider in the NPPES registry on October 11, 2019.

Where is Yelena Balaban located?

Yelena Balaban practices at 1345 Ryan Pkwy, Algonquin, IL 60102. The listed phone number is (847) 658-9555.

What is Yelena Balaban's specialty?

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

Is Yelena Balaban enrolled in Medicare?

Yes. Yelena Balaban 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 Yelena Balaban accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Yelena Balaban 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 Yelena Balaban affiliated with any hospitals?

According to CMS data, Yelena Balaban is affiliated with Advocate Sherman Hospital and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Yelena Balaban was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.