Balanced Wellness Primary Care, LLC
NPI 1780926774 · Family Nurse Practitioner · Uncasville, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Balanced Wellness Primary Care, LLC is a Family Nurse Practitioner organization in Uncasville, CT (NPI 1780926774).
Provider details
- NPI number
- 1780926774
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kristin Mahan, Owner(860) 892-8012
- License
- 004797 (CT)
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 tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-03-18
- Last updated
- 2022-06-17
- Certified
- 2022-06-16
Frequently asked questions
- What is Balanced Wellness Primary Care, LLC's NPI number?
- Balanced Wellness Primary Care, LLC's National Provider Identifier (NPI) is 1780926774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Balanced Wellness Primary Care, LLC?
- Balanced Wellness Primary Care, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Balanced Wellness Primary Care, LLC located?
- Balanced Wellness Primary Care, LLC's practice location on file with NPPES is 620 Norwich New London Tpke, Uncasville, CT 06382.
- What is Balanced Wellness Primary Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Balanced Wellness Primary Care, LLC is (860) 892-8012.
- Does Balanced Wellness Primary Care, LLC accept Medicare?
- Balanced Wellness Primary Care, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Balanced Wellness Primary Care, LLC?
- The authorized official listed on Balanced Wellness Primary Care, LLC's NPPES record is Kristin Mahan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Balanced Wellness Primary Care, LLC's NPI active?
- Yes — Balanced Wellness Primary Care, LLC's NPI (1780926774) is active in the NPPES registry as of the last update on 2022-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.