Balanced Wellness Primary Care, LLC
NPI 1780926774ActiveOrganization· Nurse Practitioner, Family· Uncasville, CT
Nurse Practitioner, Family in Uncasville, Connecticut, registered in NPPES in March 2013. The authorized official on file is Kristin Marie Mahan, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780926774 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2013 |
| Last updated in NPPES | Jun 17, 2022 |
| Certified by provider | Jun 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 004797 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
Other Nurse Practitioner, Family providers in Uncasville
- 1629593678
- 1275202087
- 1831857143
- 1659026342
- 1487498648
- 1972283208
- 1750663860
- 1003478686
- 1245644954