ADAM BALLINTOY PMHNP-BC
NPI 1336543875
Nurse Practitioner - Psychiatric/Mental Health in Knoxville, TN

Active since October 13, 2014PECOS EnrolledAccepts Medicare Assignment
1340 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909(865) 314-5939(865) 297-5233 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2023, Feb 8, 2022, May 2, 2018 (3 updates tracked since 2018).

About Adam Ballintoy Pmhnp-bc NPPES

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

ADAM BALLINTOY PMHNP-BC (NPI 1336543875) is an individual psychiatric/mental health provider in Knoxville, Tennessee, licensed in Tennessee (18856) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1336543875
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameADAM BALLINTOYCredential: PMHNP-BC
Location Address1340 DOWELL SPRINGS BLVDKnoxville, TN 37909-2453
Mailing Address1340 Dowell Springs BlvdKnoxville, TN 37909-2453 · (865) 314-5939 · Fax (865) 297-5233
Fax(865) 297-5233
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 13, 2014
Last NPPES UpdateJuly 5, 20233 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
NPI 1336543875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TN · 18856
1340 DOWELL SPRINGS BLVD, Knoxville, TN 37909

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

Adam Ballintoy 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 ID9638497837
PECOS Enrollment IDI20150420002073
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37909 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 12

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

Counselor (Professional)
1340 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Counselor (Mental Health)
1340 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Counselor (Mental Health)
1340 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Nurse Practitioner (Psychiatric/Mental Health)
1340 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Counselor (Mental Health)
1340 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Counselor (Professional)
1340 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Nurse Practitioner (Family)
1340 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Counselor (Professional)
1340 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909

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 Adam Ballintoy's NPI number?

The NPI number for Adam Ballintoy is 1336543875. It was assigned to this individual provider in the NPPES registry on October 13, 2014.

Where is Adam Ballintoy located?

Adam Ballintoy practices at 1340 Dowell Springs Blvd, Knoxville, TN 37909. The listed phone number is (865) 314-5939.

What is Adam Ballintoy's specialty?

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

Is Adam Ballintoy enrolled in Medicare?

Yes. Adam Ballintoy 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 Adam Ballintoy accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Adam Ballintoy 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.

When was this NPI record last updated?

The NPPES record for Adam Ballintoy was last updated on July 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.