JOHN BALTZ (FNP) – Family Nurse Practitioner, NPI 1013911635

JOHN BALTZ (FNP) is a healthcare provider. based in Martin, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 61466 (TN). The NPI Number for JOHN BALTZ (FNP) is 1013911635

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JOHN BALTZ (FNP)
NPI
1013911635
Phone
(731) 587-5321
Address
143 KENNEDY DR
Enumeration Date
10 June 2005
Last Update Date
19 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6153021111
Graduation Year
1992 (34 years ago)
PAC ID
6204868805
Group Practice PAC ID
7719888262
Professional Enrollment ID
I20050902000654
Address ID
TN371746270SP3098XPKWY400

Contacts

Secure Messaging
jbaltz708863@direct.vumc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:21State licenses:3Other namesUpdated within 12 months

10,664 NURSE PRACTITIONER in TN

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Provider Addresses for JOHN BALTZ (FNP)

  • 143, Kennedy Drive, Martin, Weakley County, Tennessee, 38237, United States

    MARTIN, TN 382373309

    Phone: (731) 587-5321

    Fax: (731) 588-5999

    Type: Mailing

  • 143 Kennedy Dr

    Martin, TN 382373309

    Phone: (731) 587-5321

    Fax: (731) 587-2145

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone:

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372323309

    Phone: (615) 322-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-09-02

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
I20050902000654INurse PractitionerTNTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg36044$0
99214Established patient office or other outpatient visit, 30-39 minutes287269$0
99213Established patient office or other outpatient visit, 20-29 minutes8683$0
87636Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b8481$0
J7613Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg7525$0
View full utilization report →

Insurance plans in this area (ZIP 38237)

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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: 7719888262View full group profile

Reviews

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Frequently asked questions

How is JOHN BALTZ (FNP) identified in CMS data?
CMS-hosted NPPES data lists JOHN BALTZ (FNP) with NPI 1013911635.
Can I rely on JOHN BALTZ (FNP) being an active provider?
As of the registry snapshot, JOHN BALTZ (FNP) is marked active.
What is JOHN BALTZ (FNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for JOHN BALTZ (FNP) here. Clinical services aligned with this taxonomy classification.
Where is JOHN BALTZ (FNP) based?
JOHN BALTZ (FNP) is tied to Martin, Tennessee in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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