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MR. JONATHAN ROBERT BALTZELL PA-C
NPI 1457350258
Physician Assistant in Charlotte, NC

Active since July 14, 2005PECOS Enrolled
10210 COULOAK DR, SUITE E, CHARLOTTE, NC 28216(704) 801-2000(704) 801-2001 Get Directions Write a Review

NPPES record last updated: April 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jonathan Robert Baltzell Pa-c NPPES

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

MR. JONATHAN ROBERT BALTZELL PA-C (NPI 1457350258) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (102359) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457350258
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JONATHAN ROBERT BALTZELLCredential: PA-C
Location Address10210 COULOAK DR, SUITE ECharlotte, NC 28216-7679
Mailing AddressPo Box 602478Charlotte, NC 28260-2478 · (704) 801-2000 · Fax (704) 801-2001
Phone(704) 801-2000
Fax(704) 801-2001
Sole ProprietorNo
Enumeration DateJuly 14, 2005
Last NPPES UpdateApril 1, 2014
✔ NPI 1457350258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 102359
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10210 COULOAK DR, Charlotte, NC 28216
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Other Identifiers 21

Other2747011CNC · Medicare Ptan
Medicare NSC0397730004NC
Medicare PINNC6291FNC
Medicare PINNC6291HNC
Medicare PINNC6291JNC
Medicare PINNC6291GNC
Medicare PINNC6291KNC
Medicare PINNC6291MNC
Medicare PINNC6291NNC
Medicare PIN2747011BNC
Medicare PINS693156191SC
Medicaid8101948NC
Medicare PINNC6291BNC
Medicare PINNC6291CNC
Medicare PINNC6291ONC
Medicare PINNC6291ENC
Medicare PINNC6291ANC
Medicare PINS69315SC
Medicaid1457350258NC
Medicare PINNC6291DNC
Medicare PINNC6291LNC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jonathan Robert Baltzell Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 28216 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 10

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

DANA J. WOLFE FNP
Nurse Practitioner (Family)
10210 COULOAK DR, STE E
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2000
ASHLEY VAUGHN
Nurse Practitioner
10210 COULOAK DR, SUITE E
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2000
EMILY E LORENZO MD
Family Medicine
10210 COULOAK DR, SUITE E
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2000
CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
10210 COULOAK DR, STE E
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2000
GARY SETH BARRETT PA
Physician Assistant
10210 COULOAK DR, STE E
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2000
STEPHANIE NICOLE LISENBY FNP
Nurse Practitioner (Family)
10210 COULOAK DR, STE E
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2000
APRIL FLEMING PARKER PA
Physician Assistant
10210 COULOAK DR, STE E
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2000
JULIE TURNER LACOURSIERE PA
Physician Assistant
10210 COULOAK DR, STE E
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2000

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 Jonathan Baltzell's NPI number?

The NPI number for Jonathan Baltzell is 1457350258. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Jonathan Baltzell located?

Jonathan Baltzell practices at 10210 Couloak Dr Suite E, Charlotte, NC 28216. The listed phone number is (704) 801-2000.

What is Jonathan Baltzell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jonathan Baltzell enrolled in Medicare?

Yes. Jonathan Baltzell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Baltzell was last updated on April 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.