Madelene Martin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1173840 Issued in TX

Practice address

4925 Greenville Ave
Dallas, TX 75206-4026

Phone

(214) 242-1389

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Craig C. Callewart MD PAGroup PAC ID 0244397495, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CGHACD/Endpoint/CGHACD

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.

• Craig C Callewart MD PA

  • Orthopaedic Surgery of the Spine Physician
  • Dallas, TX
  • NPI 1457596561

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Feigenbaum Neurosurgery P.a.

  • Specialist
  • Dallas, TX
  • NPI 1962776351

  Single Specialty

  Medicare reassignment NPD
• Craig C Callewart MD PA

  • Orthopaedic Surgery of the Spine Physician
  • Addison, TX
  • NPI 1306332481

  Single Specialty

  NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1013748920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064026",
            "telephone_number": "214-242-1389",
            "fax_number": "214-366-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064026",
            "telephone_number": "214-242-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MADELENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "979182",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1173840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Thomas Martin, PH.D.
• Lamont Martin
• Laurie Gendron Martin, APRN
• Leigh A. Martin, PNP
• Lena Martin, P.T.
• Marcus Martin, CHW
• Margaret Michelle Martin, MS, CF/SLP
• Mary Sandel Martin, M.ED.
• Maryann Laethem Martin, MA, CCC-SLP
• Mia Carroll Martin, RN, CPNP

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.

Verify at the official NPI Registry.