Individual provider Active NPI

Nicole Martinez

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1013753383
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
999808 Issued in CO
Practice address
1721 E 19TH Ave Ste 200
Denver, CO 80218-1242
Phone
(720) 748-4800
NPI assigned
Jul 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 999808 CO Primary

Addresses

Primary practice location

1721 E 19TH Ave Ste 200
Denver, CO 80218-1242

Mailing address

1721 E 19TH Ave Ste 200
Denver, CO 80218-1242
Phone (720) 748-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240812003662 CO Practitioner - Nurse Practitioner 6507304359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Oncology Hematology LLCGroup PAC ID 9436293461, 47 clinicians

Practice addresses (Care Compare)

1721 E 19TH Ave
200 Colorado Blood Cancer Institute
Denver, CO 80218-1242
Phone (720) 754-4800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
999808COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Oncology Hematology LLC CurrentSince Jul 15, 2024 Accepting new patients

Locations

1721 E 19th Ave
Ste 200
Denver, CO 80218
Phone (303) 839-6745

1721 E 19th Ave
Ste 300
Denver, CO 80218
Phone (720) 748-4800

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1013753383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181242",
            "telephone_number": "720-748-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181242",
            "telephone_number": "720-748-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "999808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.