Charieville Balawang Carcellar
NPI 1578416293ActiveIndividual· Nurse Practitioner· Jackson, MI
Nurse Practitioner with Ihp Hospital Medicine - Jackson PLLC, practicing in Jackson, Michigan. Enrolled in Medicare as practitioner - nurse practitioner. Lists Henry Ford Allegiance Health as a hospital affiliation.
Overview
| NPI | 1578416293 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 20, 2026 |
| Last updated in NPPES | Feb 20, 2026 |
| Certified by provider | Feb 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704381114 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Ihp Hospital Medicine - Jackson PLLCJackson, MI · 50 clinicians
Hospital affiliation
- Henry Ford Allegiance HealthJackson, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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