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MRS. KATHY LE BALLEK PMHNP-BC
NPI 1295545150
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since January 11, 2025PECOS Enrolled
4137 VERDUGO RD, LOS ANGELES, CA 90065(323) 344-9255 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2026, Jan 11, 2025 (2 updates tracked since 2025).

About Mrs. Kathy Le Ballek Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHY LE BALLEK PMHNP-BC (NPI 1295545150) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95033503) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295545150
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. KATHY LE BALLEKCredential: PMHNP-BC
Location Address4137 VERDUGO RDLos Angeles, CA 90065-3820
Mailing Address4137 Verdugo RdLos Angeles, CA 90065-3820 · (323) 344-9255
Phone(323) 344-9255
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 11, 2025
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1295545150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95033503
4137 VERDUGO RD, Los Angeles, CA 90065
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathy Le Ballek Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214418847
PECOS Enrollment IDI20260223000823
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathy Ballek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tri-State Community Healthcare Center
56 mi
Federally Qualified Health Center (FQHC)
11499 BARTLETT AVE
Adelanto, CA 92301
  • Reassigned Medicare billing, California enrollment
  • 73 clinicians in this Medicare group
NPI 1508379017 (760) 444-4258

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARVIZ P IMANI MD, INC
General Practice
4137 VERDUGO RD
LOS ANGELES, CA 90065
Los Angeles County (323) 256-5800
HOMIRA OMAR PA
Physician Assistant
4137 VERDUGO RD
LOS ANGELES, CA 90065
Los Angeles County (323) 344-9255
ARRA APIKIAN OD
Optometrist
4137 VERDUGO RD
LOS ANGELES, CA 90065
Los Angeles County (323) 344-9255
PERNI MOVSESIAN
Nurse Practitioner (Family)
4137 VERDUGO RD
LOS ANGELES, CA 90065
Los Angeles County (323) 344-9255
ALFRED LUIS CISNEROS M.D.
General Practice
4137 VERDUGO RD
LOS ANGELES, CA 90065
Los Angeles County (323) 344-9255
TRI-STATE COMMUNITY HEALTHCARE CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
4137 VERDUGO RD
LOS ANGELES, CA 90065
Los Angeles County (323) 344-9255
TRI-STATE COMMUNITY HEALTHCARE CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
4137 VERDUGO RD
LOS ANGELES, CA 90065
Los Angeles County (323) 928-5052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Ballek's NPI number?

The NPI number for Kathy Ballek is 1295545150. It was assigned to this individual provider in the NPPES registry on January 11, 2025.

Where is Kathy Ballek located?

Kathy Ballek practices at 4137 Verdugo Rd, Los Angeles, CA 90065. The listed phone number is (323) 344-9255.

What is Kathy Ballek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kathy Ballek enrolled in Medicare?

Yes. Kathy Ballek is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathy Ballek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Ballek reassigns Medicare benefits to Tri-State Community Healthcare Center (Adelanto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathy Ballek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathy Ballek accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kathy Ballek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathy Ballek was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.