Malgorzata Balaban, APN-CNP
NPI 1346612140 · Nurse Practitioner · Evanston, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Malgorzata Balaban, APN-CNP is a Nurse Practitioner provider in Evanston, IL (NPI 1346612140).
Provider details
- NPI number
- 1346612140
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN-CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209012713 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
335 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 118 | $70 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 69 | $117 |
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 52 | $68 |
| Residence Visit for Established Patient With Straightforward Medical Decision Making, Per Day, If Using Time, at Least 15 Minutes99347 | 50 | $40 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 18 | $105 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 17 |
| Alprazolam | 16 |
| Fentanyl | 16 |
| Sertraline Hcl | 12 |
| Tramadol Hcl | 12 |
| Ursodiol | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-10-20
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Frequently asked questions
- What is Malgorzata Balaban's NPI number?
- Malgorzata Balaban's National Provider Identifier (NPI) is 1346612140, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Malgorzata Balaban's specialty?
- Malgorzata Balaban is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Malgorzata Balaban located?
- Malgorzata Balaban's practice location on file with NPPES is 2650 Ridge Ave, Evanston, IL 60201-1718.
- What is Malgorzata Balaban's phone number?
- The practice phone number listed in the NPPES registry for Malgorzata Balaban is (847) 570-2600.
- Does Malgorzata Balaban accept Medicare?
- Malgorzata Balaban is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Malgorzata Balaban's NPI active?
- Yes — Malgorzata Balaban's NPI (1346612140) is active in the NPPES registry as of the last update on 2026-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.