Active NPI
Michelle Martin, PAC
- Medical Physician Assistant
- Stanford, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA686
- Practice address
- 100 Jay Street
Stanford, KY 40484-7511 - Phone
- (606) 365-1547
- Fax
- (606) 365-8380
- NPI assigned
- Jun 14, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA686 | KY | Primary |
Addresses
Primary practice location
100 Jay Street
Stanford, KY 40484-7511
Mailing address
PO Box 330
Stanford, KY 40484-0330
Phone (606) 365-1547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9500353900 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Jay St
Stanford, KY 40484-7511
Phone (606) 365-1547
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waynesburg Clinic, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Stanford, KY
- NPI 1598869638
-
- Rural Health Clinic/Center
- Waynesburg, KY
- NPI 1669670816
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Liberty Family Medical Center
- Family Medicine Physician
- Liberty, KY
- NPI 1023500618
Hospital
-
dba Fort Logan Walk-in & Primary Care
- Family Medicine Physician
- Stanford, KY
- NPI 1205328895
Hospital
-
dba Danville Family Physicians
- Family Medicine Physician
- Danville, KY
- NPI 1417436221
Hospital
-
dba North Garrard Family Medical Center
- Family Medicine Physician
- Lancaster, KY
- NPI 1851883441
Hospital
-
dba Ephraim McDowell Garrard Clinic
- Rural Health Clinic/Center
- Lancaster, KY
- NPI 1952893620
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003859174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 330",
"city": "STANFORD",
"state": "KY",
"postal_code": "404840330",
"telephone_number": "606-365-1547",
"fax_number": "606-365-8380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 JAY STREET",
"city": "STANFORD",
"state": "KY",
"postal_code": "404847511",
"telephone_number": "606-365-1547",
"fax_number": "606-365-8380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "PA686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9500353900",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, KY
- Lincoln County Health Department (Lincoln County Middle School Health Office)
- Lincoln County Health Department (Lincoln County High School Health Office)
- Lincoln County Health Dept (Stanford Elementary School Health Office)
- James Lutz Jr., DO
- Sally Elizabeth Manning
- Savannah N Martin, DI
- Emily McAlister, APRN
- Kari L McGrath
- Stephen P Meese, D.O.
- Jennifer Merrick, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.