MR. JOSEPH HENRY KANCLERZ (MSN, NP-C, RNFA) – Nurse Practitioner, NPI 1164697355

MR. JOSEPH HENRY KANCLERZ (MSN, NP-C, RNFA) is a healthcare provider. based in Chestnut mountain, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, NP-C, RNFA. They hold a License No. RN177592 (GA). The NPI Number for MR. JOSEPH HENRY KANCLERZ (MSN, NP-C, RNFA) is 1164697355

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSEPH HENRY KANCLERZ (MSN, NP-C, RNFA)
NPI
1164697355
Phone
(678) 591-8344
Address
PO BOX 7042
Enumeration Date
28 April 2008
Last Update Date
13 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6785918344
Graduation Year
2005 (21 years ago)
PAC ID
5991001869
Group Practice PAC ID
3375849243
Professional Enrollment ID
I20160303001576
Address ID
GA305176268BR5742XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for MR. JOSEPH HENRY KANCLERZ (MSN, NP-C, RNFA)

  • PO BOX 7042

    CHESTNUT MOUNTAIN, GA 305020042

    Phone: (678) 591-8344

    Type: Mailing

  • 5742, Allee Way, Braselton, Gwinnett County, Georgia, 30517, United States

    BRASELTON, GA 305176268

    Phone: (678) 591-8344

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-09-29 • Largest payer in this snapshot: EAGLE PHARMACEUTICALS, INC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160303001576INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
27447Replacement of knee joint, both sides of knee660616$0
27130Replacement of thigh bone and hip joint with prosthesis430411$0
View full utilization report →

Insurance plans in this area (ZIP 30502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375849243View full group profile
NameSpecialtyState
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is there an official ID for MR. JOSEPH HENRY KANCLERZ (MSN, NP-C, RNFA) in U.S. healthcare records?
The official identifier for MR. JOSEPH HENRY KANCLERZ (MSN, NP-C, RNFA) is NPI 1164697355.
Is MR. JOSEPH HENRY KANCLERZ (MSN, NP-C, RNFA) still an active registrant?
MR. JOSEPH HENRY KANCLERZ (MSN, NP-C, RNFA) carries an active NPI according to the public dataset.
What kind of doctor is MR. JOSEPH HENRY KANCLERZ (MSN, NP-C, RNFA)?
MR. JOSEPH HENRY KANCLERZ (MSN, NP-C, RNFA) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is MR. JOSEPH HENRY KANCLERZ (MSN, NP-C, RNFA) associated with Chestnut Mountain?
Public fields place MR. JOSEPH HENRY KANCLERZ (MSN, NP-C, RNFA) around Chestnut Mountain, Georgia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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