Rachel Balkema, PA-C
NPI 1356776207 · Physician Assistant · Muskegon, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rachel Balkema, PA-C is a Physician Assistant provider in Muskegon, MI (NPI 1356776207).
Provider details
- NPI number
- 1356776207
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601006791 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
139 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 65 | $117 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 62 | $79 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 12 | $13 |
Typical Medicare-allowed amounts for these services range $13–$117 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 42 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Erenumab-Aooebrand: Aimovig Autoinjector | 225 | 42 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 185 | 55 |
| Sumatriptan Succinate | 138 | 30 |
| Topiramate | 117 | 34 |
| Donepezil Hcl | 114 | 38 |
| Propranolol Hclbrand: Propranolol Hcl Er | 108 | 36 |
| Ubrogepantbrand: Ubrelvy | 106 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$764 across 43 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1310 Wisconsin St Ste 200Grand Haven, MI 49417-2472Phone: (616) 296-1640Fax: (616) 296-1642
- 1675 Leahy StSuite 401bMuskegon, MI 49442-5500Phone: (231) 727-4243Fax: (231) 727-4214
Registry dates
- Enumerated
- 2013-09-11
- Last updated
- 2024-10-14
- Certified
- 2024-10-14
Frequently asked questions
- What is Rachel Balkema's NPI number?
- Rachel Balkema's National Provider Identifier (NPI) is 1356776207, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rachel Balkema's specialty?
- Rachel Balkema is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Rachel Balkema located?
- Rachel Balkema's practice location on file with NPPES is 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444-1886.
- What is Rachel Balkema's phone number?
- The practice phone number listed in the NPPES registry for Rachel Balkema is (231) 672-4243.
- Does Rachel Balkema accept Medicare?
- Rachel Balkema is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rachel Balkema's NPI active?
- Yes — Rachel Balkema's NPI (1356776207) is active in the NPPES registry as of the last update on 2024-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.