1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Nurse Practitioner
  6. NPI Profile

ADRIAN BALESTRA PMHNP-BC
NPI 1518352129
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
8 E 3RD ST, NEW YORK, NY 10003(212) 533-8400 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 31, 2019, Jul 23, 2018 (2 updates tracked since 2018).

About Adrian Balestra Pmhnp-bc NPPES

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

ADRIAN BALESTRA PMHNP-BC (NPI 1518352129) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (F402432) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1518352129
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameADRIAN BALESTRACredential: PMHNP-BC
Location Address8 E 3RD STNew York, NY 10003
Mailing Address50 Strong PlBrooklyn, NY 11231-3709 · (917) 887-2140
Phone(212) 533-8400
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 31, 2015
Last NPPES UpdateOctober 31, 20192 updates tracked since enumeration
✔ NPI 1518352129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F402432
Also ListedRegistered NurseTaxonomy 163W00000X · License 620869 (NY)
8 E 3RD ST, New York, NY 10003
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adrian Balestra Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082952015
PECOS Enrollment IDI20190215002177
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
3,962 services1,417 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,151 services583 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
870 services821 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
254 services243 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

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

PROJECT RENEWAL INC
Clinic/Center (Federally Qualified Health Center (FQHC))
8 E 3RD ST
NEW YORK, NY 10003
New York County (212) 533-8400
MRS. SUZANNE GALLAGHER NP
Nurse Practitioner (Psychiatric/Mental Health)
8 E 3RD ST
NEW YORK, NY 10003
New York County (212) 533-8400
STEPHANIE LYNNE TUTAK MD
Internal Medicine
8 E 3RD ST
NEW YORK, NY 10003
New York County (212) 533-8400
REBECCA ANN LLOYD-JONES
Licensed Practical Nurse
8 E 3RD ST
NEW YORK, NY 10003
New York County (212) 533-8400
PHILLIP ELIJAH CEPERO LPN
Licensed Practical Nurse
8 E 3RD ST
NEW YORK, NY 10003
New York County (917) 495-3665
MS. KRISTEN ANN BARISCIANO RN
Clinic/Center (Rehabilitation, Substance Use Disorder)
8 E 3RD ST
NEW YORK, NY 10003
New York County (212) 513-8400
MR. THOMAS J CIROLIA LCSW
Social Worker (Clinical)
8 E 3RD ST
NEW YORK, NY 10003
New York County (212) 533-8400
AIDA ILEANA GARAY CASAC
Counselor (Addiction (Substance Use Disorder))
8 E 3RD ST
NEW YORK, NY 10003
New York County (212) 533-8400

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 Adrian Balestra's NPI number?

The NPI number for Adrian Balestra is 1518352129. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Adrian Balestra located?

Adrian Balestra practices at 8 E 3rd St, New York, NY 10003. The listed phone number is (212) 533-8400.

What is Adrian Balestra's specialty?

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

Is Adrian Balestra enrolled in Medicare?

Yes. Adrian Balestra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Adrian Balestra was last updated on October 31, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.