Nancy A Baltus, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2003-0029 Issued in NM

Practice address

9551 Paseo del Norte NE
Unit D
Albuquerque, NM 87122-2975

Phone

(505) 800-7045

Fax

(505) 800-7051

NPI assigned

Oct 3, 2006

Last updated

Jul 21, 2016By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Lovelace Urgent Care, LLC

  dba Lovelace Urgent Care

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1932911351
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1962596338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9551 PASEO DEL NORTE NE",
            "address_2": "UNIT D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222975",
            "telephone_number": "505-800-7045",
            "fax_number": "505-800-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9551 PASEO DEL NORTE NE",
            "address_2": "UNIT D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222975",
            "telephone_number": "505-800-7045",
            "fax_number": "505-800-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTUS",
        "first_name": "NANCY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2003-0029",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "PA2003-0029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79573827",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Lea Ballinger, CGC
• Kanwal Mir Baloch
• Patil Sarkis Balozian, MD
• Jody Balter
• Bruce Balto, LISW, DCSW
• Margaret Baltzer, LSAA
• Shannon Elizabeth Balue, LMT
• Bethany Sue Balzis, P.T.
• Abigail Bamberg
• Kyle Bamberg, BC-HIS

• Medical Physician Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.