BLYTHE ASIO BALLAAO PMHNP
NPI 1669975777
Nurse Practitioner - Psychiatric/Mental Health in Santa Cruz, CA

Active since March 14, 2018PECOS EnrolledAccepts Medicare Assignment
1080 EMELINE AVE, SANTA CRUZ, CA 95060(831) 454-4100 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Aug 30, 2023, Jun 12, 2018 and 1 more (4 updates tracked since 2018).

About Blythe Asio Ballaao Pmhnp NPPES

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

BLYTHE ASIO BALLAAO PMHNP (NPI 1669975777) is an individual psychiatric/mental health provider in Santa Cruz, California, licensed in California (95008756) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Cruz, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669975777
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBLYTHE ASIO BALLAAOCredential: PMHNP
Location Address1080 EMELINE AVESanta Cruz, CA 95060-1966
Mailing Address1400 Emeline AveSanta Cruz, CA 95060-1976
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 14, 2018
Last NPPES UpdateFebruary 19, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1669975777 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
Licenses Licensed in CA · 95008756 Licensed in TX · AP136980
1080 EMELINE AVE, Santa Cruz, CA 95060

Secondary Practice Location 1

Location 11400 Emeline AveSanta Cruz, CA 95060 · Phone (831) 454-4885

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

Blythe Asio Ballaao Pmhnp 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 ID6406181031
PECOS Enrollment IDI20190718000784
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

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95060 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
$96.03 typical visit price
range $62.97 – $186.69
Typical copayment $24.00 (range $15.74 – $46.67)
Most-billed visit code 99203
Established Patient
$109.72 typical visit price
range $21.02 – $153.16
Typical copayment $27.43 (range $5.25 – $38.29)
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 20

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

Marriage & Family Therapist
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Social Worker (Clinical)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychiatry & Neurology (Psychiatry)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Social Worker (Clinical)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychologist
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Internal Medicine
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Pharmacy
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychiatry & Neurology (Psychiatry)
1080 EMELINE AVE
SANTA CRUZ, CA 95060

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 Blythe Ballaao's NPI number?

The NPI number for Blythe Ballaao is 1669975777. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Blythe Ballaao located?

Blythe Ballaao practices at 1080 Emeline Ave, Santa Cruz, CA 95060. The listed phone number is (831) 454-4100.

What is Blythe Ballaao's specialty?

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

Is Blythe Ballaao enrolled in Medicare?

Yes. Blythe Ballaao 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 Blythe Ballaao was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.