Imelda Balili, MSN, CNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

281714 Issued in AZ

Practice address

9401 W Thunderbird Rd Ste 189
Peoria, AZ 85381-4210

Phone

(602) 830-0699

Fax

(602) 830-0499

NPI assigned

Apr 8, 2026

Last updated

Jul 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compassionate Christian Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
  • NPI 1912655754
  Medicare reassignment NPD
• Across Life Span Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
  • NPI 1902753015
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1770425779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W CAMELBACK RD STE 445",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132529",
            "telephone_number": "602-830-0699",
            "fax_number": "602-830-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 W THUNDERBIRD RD STE 189",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814210",
            "telephone_number": "602-830-0699",
            "fax_number": "602-830-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALILI",
        "first_name": "IMELDA",
        "name_prefix": "Mrs.",
        "credential": "MSN, CNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "281714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balance Hormone Peoria PLLC
• Melissa Rene Balbuena-Root, MD
• Jillian Balda, LMT
• Theresa L Baldwin, M.S.CCC-SLP
• Albert James Bales, FNP-C
• Elisabeth Balken, FNP
• Mary L Ballejos
• Maria Ballon
• Azam Banaian, NMD
• Dana Rene' Banfield

• Psychiatric/Mental Health Nurse Practitioner in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.