NANCY A BALTUS PA-C NPI 1962596338

NPI Information

NPI: 1962596338
Provider Name: NANCY A BALTUS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
9551 PASEO DEL NORTE NE
UNIT D
ALBUQUERQUE, NM
ZIP 87122
Phone: (505) 800-7045
Get Directions

Nancy A Baltus, PA-C is a medical physician assistant in Albuquerque, NM. Nancy A Baltus, PA-C NPI is 1962596338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9551 PASEO DEL NORTE NE
UNIT D
ALBUQUERQUE, NM
ZIP 87122-975
Phone: (505) 800-7045
Fax: (505) 800-7051

The NPI 1962596338 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		PA2003-0029	NEW MEXICO	No
2	363AM0700X	Physician Assistant	Medical	PA2003-0029	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	342412600	MEDICARE PIN
2	S31483	MEDICARE UPIN
3	79573827	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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