Mary Lynn Martin, RN, ANP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2011009484 Issued in MO

Practice address

11020 King St Ste 220
Overland Park, KS 66210-1201

Phone

(913) 730-7746

Fax

(913) 214-2221

NPI assigned

May 9, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.martin@mfm.directbygreenway.com
• Direct secure messaging: martin@mfmp.gwaydirect.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CHIBBA/Endpoint/CHIBBA

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.

• Mary Lynn Martin Aprn LLC

  • Primary Care Clinic/Center
  • Overland Park, KS
  • NPI 1144909441
  Medicare reassignment NPD Authorized official
• Vpa PC

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1760706337
  Medicare reassignment NPD
• Cardiorenal Vision of Missouri LLC

  • Cardiovascular Disease Physician
  • Kansas City, MO
  • NPI 1285529289
  NPD
• Heart Surgeons of Kansas City, Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kansas City, MO
  • NPI 1164665600
  NPD (past)

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1013209188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 KING ST STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101201",
            "telephone_number": "913-730-7746",
            "fax_number": "913-214-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 KING ST STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101201",
            "telephone_number": "913-730-7746",
            "fax_number": "913-214-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "credential": "RN, ANP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2011009484",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "5375392021",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2011009484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Marie Martin, DO
• Grace Anne Martin, DO
• Jakela Martin
• Janice Martin, MD
• Loree Anne Martin, MA., CCC-A
• Max Martin
• Patricia A Martin, MD
• Rachelle Kristin Martin, PT, DPT
• Sherri G Martin, MD
• Timothy James Martin, M.D.

• Adult Health Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Adult Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.