ANDREA ELAINE BALLUCH-DEAN, CNP — NPI 1134560758 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric

CMS-1500 Box 24J / 33a • NPI

1134560758

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LP0808X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health

Box 32 Service Location & ZIP+4

3610 MERCEDES PL, CANFIELD, OH, 44406-8139

✓ 9-Digit EDI 837 ZIP+4 (44406-8139)

Practice Phone & Referral Fax

(724) 866-1750

Fax: (724) 618-4128

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1134560758 (ANDREA ELAINE BALLUCH-DEAN, CNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1134560758` (NPI-1 Individual Practitioner)
Provider / Legal Name	ANDREA ELAINE BALLUCH-DEAN, CNP
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health NUCC Code: `363LP0808X` (Nurse Practitioner, Psych/Mental Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3610 MERCEDES PL, CANFIELD, OH, 44406-8139
Practice Telephone / Fax	Tel: (724) 866-1750 \| Fax: (724) 618-4128
Administrative Mailing Address	143 BOARDMAN CANFIELD RD STE 324, BOARDMAN, OH, 44512-4804
Enumeration & Last Sync	Enumerated: 2013-07-11 \| CMS Record Updated: 2023-07-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3610 MERCEDES PL, CANFIELD, OH, 44406-8139

🗺️ Open in Google Maps 🏥 More Providers in CANFIELD

🔒 Are you ANDREA ELAINE BALLUCH-DEAN, CNP? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (363LP0808X)

What Does Taxonomy Code 363LP0808X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP0808X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Psych/Mental Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANDREA ELAINE BALLUCH-DEAN, CNP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: OH \| License: `341812` \| Primary: Secondary
`363LF0000X` — Nurse Practitioner, Family Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family	State: OH \| License: `14803` \| Primary: Secondary
`363LP0808X` — Nurse Practitioner, Psych/Mental Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health	State: OH \| License: `APRN.CNP.14803` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

ANDREA ELAINE BALLUCH-DEAN, CNP (NPI #1134560758)