Individual provider Active NPI

Rebecca Martin, NP

  • Family Nurse Practitioner
  • Penn Yan, NY
National Provider Identifier
1003286881
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340055 Issued in NY
Practice address
3 School Dr
Penn Yan, NY 14527-1081
Phone
(315) 924-6050
NPI assigned
Oct 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340055 NY Primary

Addresses

Primary practice location

3 School Dr
Penn Yan, NY 14527-1081

Mailing address

601B W Washington St
Geneva, NY 14456-2119
Phone (315) 781-8448

Other practice location 1

112 Kimball Ave
Penn Yan, NY 14527-1816
Phone (315) 531-9102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151218001838 NY Practitioner - Nurse Practitioner 9931400868 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F340055NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton Springs Sanitarium Co CurrentSince Oct 17, 2015 Accepting new patients
Finger Lakes Community Health CurrentSince Mar 28, 2016 Accepting new patients
Finger Lakes Community Health CurrentSince Mar 28, 2016 Accepting new patients
Finger Lakes Community Health Current Accepting new patients
Finger Lakes Migrant Health Care Project, Inc. PastSince Apr 16, 2023 Accepting new patients
Finger Lakes Community Health Past Accepting new patients

Locations

6890 County Route 113
Bath, NY 14810
Phone (607) 776-3063

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

601B W Washington St
Geneva, NY 14456
Phone (315) 781-8448

1900 State Route 31
Macedon, NY 14502
Phone (315) 986-1336

513 W Union St
Newark, NY 14513
Phone (315) 331-3784

7150 Main St
Ovid, NY 14521
Phone (607) 403-0065

112 Kimball Ave
Penn Yan, NY 14527
Phone (315) 531-9102

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

6341 Ridge Rd
Sodus, NY 14551
Phone (315) 483-1199

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCGGAA/Endpoint/HCGGAA
  • Direct secure messaging: rebecca.martin@flch.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCGGAA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1003286881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601B W WASHINGTON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562119",
            "telephone_number": "315-781-8448",
            "fax_number": "315-531-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SCHOOL DR",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271081",
            "telephone_number": "315-924-6050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Kimball Ave",
            "address_purpose": "LOCATION",
            "city": "Penn Yan",
            "state": "NY",
            "postal_code": "145271816",
            "country_code": "US",
            "telephone_number": "315-531-9102",
            "fax_number": "315-531-9103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "REBECCA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Yan, NY

Sources for this page

Verify at the official NPI Registry.