Susan A Baltz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

251159 Issued in TX

Practice address

5211 W 9TH Ave
Amarillo, TX 79106-4120

Phone

(806) 731-1516

NPI assigned

May 10, 2007

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• FMC Palliative Care, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Amarillo, TX
  • NPI 1952913352

  Family, TX

  Medicare reassignment Care Compare group NPD
• FMC Long-Term Care, P.a.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1538703459

  Family, TX

  Medicare reassignment NPD
• Grand Medical Clinic

  • Family Nurse Practitioner
  • Amarillo, TX
  • NPI 1265519623

  Family

  NPD (past) Authorized official
• FMC LTC Aco LLC

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1942048053

  Nurse Practitioner

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984

  Hospital

  Care Compare affiliation
• Camden Bay LTD

  • Home Health Agency
  • Amarillo, TX
  • NPI 1245426527
  Care Compare affiliation
• Caprock Home Health Services, Inc.

  • Home Health Agency
  • Amarillo, TX
  • NPI 1730163650
  Care Compare affiliation
• Rivercrest Home Health Care, Inc.

  • Home Health Agency
  • Amarillo, TX
  • NPI 1073671657
  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FMC Palliative Care, LLC 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Amarillo, TX, CCN 679259
• Bsa Compassion Home Care Home health agency, Amarillo, TX, CCN 677943
• Caprock Home Health Services, Inc. Home health agency, Amarillo, TX, CCN 457381
• Bsa Hospital Hospital, Amarillo, TX, CCN 450231

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1992919484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1156",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "79015",
            "telephone_number": "806-206-1494",
            "fax_number": "806-731-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 W 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064120",
            "telephone_number": "806-731-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTZ",
        "first_name": "SUSAN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP107029",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "251159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki M. Baldwin, R.D.
• Rushil Balkundi
• Martha Ball, CRNP
• Robert M Ball, MD
• Robert Lee Ballard, MD
• William M Banister, M.D.
• John Steven Banks, D.D.S.
• Brandi Brianne Banner, LMT,CMMT,MTI
• Shannon Lyne Banner
• Trudy Reeve Banner, LPC

• All providers in Amarillo, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.