MR. ZACHARY THOMAS BALLARD (PMHNP, MS) – Psychiatric/Mental Health Nurse Practitioner, NPI 1033643176
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for MR. ZACHARY THOMAS BALLARD (PMHNP, MS)
2611, Wayne Avenue, Ohmer Park, Dayton, Montgomery County, Ohio, 45420, United States
DAYTON, OH 454201833
Phone: (937) 256-7801
Fax: (937) 259-1148
Type: Mailing
6240 KARLSRIDGE DR
DAYTON, OH 454598402
Phone: (937) 694-4563
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 404 Open Payments records for all available years, with a total value of $5,868.
Total Amount is formed as General ($5,868) + Research ($0) + Ownership ($0) = $5,868.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($1,014).
Total Amount
$5,868
General + Research + Ownership
Payments
404
Total payment records
General Amount
$5,868
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $1,014 |
| ABBVIE INC. | $918 |
| Axsome Therapeutics, Inc. | $587 |
| Vanda Pharmaceuticals Inc. | $432 |
| ITI, Inc. | $285 |
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: 2023-03-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230316000816 | I | Nurse Practitioner | OH | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OH | |
| Mental Health Counselor | OH | |
| P S Y C H I A T R Y | OH | |
| Mental Health Counselor | OH | |
| - | OH | |
| Clinical Social Worker | OH | |
| Mental Health Counselor | OH | |
| Psychiatry, Geriatric Psychiatry | OH | |
| P S Y C H I A T R Y | OH | |
| Clinical Social Worker | OH |
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