Grand Medical Clinic
NPI 1265519623ActiveOrganization· Nurse Practitioner, Family· Amarillo, TX
Nurse Practitioner, Family in Amarillo, Texas, registered in NPPES in November 2006. The authorized official on file is Susan A. Baltz, FAMILY NURSE PRACTIT, Family Nurse Practitioner Owner.
Overview
| NPI | 1265519623 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2006 |
| Last updated in NPPES | Nov 20, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 251159 | TX |
| Family Medicine | 207Q00000X | K2883 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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