Danielle L. Balthazor, APRN
Individual provider Active NPI Nurse Practitioner · Topeka, KS
NPI 1154851186 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1154851186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 77681 (KS)
- Practice address
- 6725 SW 29TH St
Topeka, KS 66614-5625 - Phone
- (785) 270-0047
- Fax
- (785) 478-1508
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Services of Kansas PA
Practice addresses (Care Compare)
1700 SW 7TH St
Emergency Services of Kansas PA
Topeka, KS 66606-2489
Phone (785) 295-8000
Hospital & facility affiliations
- University of Kansas Health System - St Francis Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170711000981 | KS | Practitioner - Nurse Practitioner | 1951670736 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77681 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cotton-O'Neil Clinic Revocable Trust | Current |
Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Current |
Accepting new patients | |
| Emergency Services of Kansas, P.a. | Nurse Practitioner | Current |
Accepting new patients |
| Radiology and Nuclear Medicine LLC | Current |
Accepting new patients | |
| Minor Med PA | Current |
Accepting new patients |
Locations
1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376
1600 Community Dr
Seneca, KS 66538
Phone (785) 273-1720
1700 SW 7th St
#O
Topeka, KS 66606
Phone (785) 295-8000
1119 SW Gage Blvd
Topeka, KS 66604
Phone (785) 271-6000
929 SW Mulvane St
Topeka, KS 66606
Phone (785) 270-4100
1303 SW First American Pl
Topeka, KS 66604
6725 SW 29th St
Topeka, KS 66614
Phone (785) 270-0047
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
901 SW Garfield Ave
Topeka, KS 66606
909 SW Mulvane St
Topeka, KS 66606
Phone (785) 357-0301
1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242
Interoperability endpoints
- dbalthazor45405@stormontvaildirect.org
- dbalthazor963612@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 77681 | KS | Yes |
Addresses
Primary practice location
6725 SW 29TH St
Topeka, KS 66614-5625
Mailing address
6725 SW 29TH St
Topeka, KS 66614-5625
Phone (785) 270-0047
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbalthazor45405@stormontvaildirect.org | Direct | COTTON O'NEIL CLINIC REVOCABLE TRUST |
| Direct Messaging Address | dbalthazor45405@stormontvaildirect.org | Direct | STORMONT-VAIL HEALTHCARE INC |
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.