ANGELA DORTHINA BALUYOT PMHNP-BC
NPI 1356115604
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since November 08, 2023Opted out of Medicare · through Jun 20, 2028
3333 E CAMELBACK RD STE 260, PHOENIX, AZ 85018(602) 324-4622 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angela Dorthina Baluyot Pmhnp-bc NPPES

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

ANGELA DORTHINA BALUYOT PMHNP-BC (NPI 1356115604) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (2023061171) and active in the NPI registry since November 2023. She has opted out of Medicare through June 20, 2028.

NPPES Registry Identity

NPI1356115604
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANGELA DORTHINA BALUYOTCredential: PMHNP-BC
Location Address3333 E CAMELBACK RD STE 260Phoenix, AZ 85018-2390
Mailing Address4120 E Anderson DrPhoenix, AZ 85032-2264 · (602) 903-8255
Sole ProprietorYes
Enumeration DateNovember 8, 2023
Last NPPES UpdateMay 22, 2024
NPPES CertifiedNovember 20, 2023
NPI 1356115604 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 AZ · 2023061171
3333 E CAMELBACK RD STE 260, Phoenix, AZ 85018

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Angela Dorthina Baluyot Pmhnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 20, 2024 through June 20, 2028.

Opt-Out Effective DateJune 20, 2024
Opt-Out In Effect ThroughJune 20, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85018 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Angela Baluyot's NPI number?

The NPI number for Angela Baluyot is 1356115604. It was assigned to this individual provider in the NPPES registry on November 8, 2023.

Where is Angela Baluyot located?

Angela Baluyot practices at 3333 E Camelback Rd Ste 260, Phoenix, AZ 85018. The listed phone number is (602) 324-4622.

What is Angela Baluyot's specialty?

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

Is Angela Baluyot enrolled in Medicare?

No. Angela Baluyot has opted out of Medicare through June 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Angela Baluyot accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Angela Baluyot 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 Angela Baluyot was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.