ROBERT MATTHEW BALTES MSN, ARNP, PMHNP-BC
NPI 1316561970
Nurse Practitioner - Psychiatric/Mental Health in Spencer, IA

Active since May 29, 2020PECOS EnrolledAccepts Medicare Assignment
1200 1ST AVE E STE 1, SPENCER, IA 51301(515) 364-6198 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2020, May 29, 2020 (2 updates tracked since 2020).

About Robert Matthew Baltes Msn, Arnp, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT MATTHEW BALTES MSN, ARNP, PMHNP-BC (NPI 1316561970) is an individual psychiatric/mental health provider in Spencer, Iowa, licensed in Iowa (G159590) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1316561970
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameROBERT MATTHEW BALTESCredential: MSN, ARNP, PMHNP-BC
Location Address1200 1ST AVE E STE 1Spencer, IA 51301-4330
Mailing Address1200 1st Ave E Ste 1Spencer, IA 51301-4330 · (712) 264-6198
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 29, 2020
Last NPPES UpdateJuly 2, 20202 updates tracked since enumeration
NPPES CertifiedJuly 2, 2020
NPI 1316561970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IA · G159590
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 123267 (IA)
1200 1ST AVE E STE 1, Spencer, IA 51301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Robert Matthew Baltes Msn, Arnp, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577980960
PECOS Enrollment IDI20200831002214
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1200 1ST AVE E STE 1
SPENCER, IA 51301
Midwife
1200 1ST AVE E STE 1
SPENCER, IA 51301
Counselor (Mental Health)
1200 1ST AVE E STE 1
SPENCER, IA 51301
Registered Nurse
1200 1ST AVE E STE 1
SPENCER, IA 51301
Nurse Practitioner (Psychiatric/Mental Health)
1200 1ST AVE E STE 1
SPENCER, IA 51301
Pharmacist
1200 1ST AVE E STE 1
SPENCER, IA 51301
Physical Therapist
1200 1ST AVE E STE 1
SPENCER, IA 51301
Nurse Anesthetist, Certified Registered
1200 1ST AVE E STE 1
SPENCER, IA 51301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Baltes's NPI number?

The NPI number for Robert Baltes is 1316561970. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Where is Robert Baltes located?

Robert Baltes practices at 1200 1st Ave E Ste 1, Spencer, IA 51301. The listed phone number is (515) 364-6198.

What is Robert Baltes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Robert Baltes enrolled in Medicare?

Yes. Robert Baltes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Baltes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 4 other insurers list Robert Baltes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Baltes affiliated with any hospitals?

According to CMS data, Robert Baltes is affiliated with Spencer Municipal Hospital.

When was this NPI record last updated?

The NPPES record for Robert Baltes was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.