Individual provider Active NPI

Danielle Nicole Martin, FNP-C

  • Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1023697828
Registry record updated Aug 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
250284 Issued in AZ
Practice address
1800 E Wilcox Dr
Sierra Vista, AZ 85635-2756
Phone
(520) 459-3116
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2022

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 250284 AZ Primary

Addresses

Primary practice location

1800 E Wilcox Dr
Sierra Vista, AZ 85635-2756

Mailing address

1800 E Wilcox Dr
Sierra Vista, AZ 85635-2756
Phone (520) 459-3116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210921001434 AZ Practitioner - Nurse Practitioner 9436556297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GP Medicine PLLCGroup PAC ID 6800216672, 6 clinicians

Practice addresses (Care Compare)

1800 E Wilcox Dr
Sierra Vista, AZ 85635-2756
Phone (520) 459-3116

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Sierra Vista, AZ, CCN 037416
  • Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
250284AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Infectious Disease PLLC CurrentSince Jun 6, 2021 Accepting new patients
GP Medicine, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Paige Dubin MD PC Past Accepting new patients

Locations

5601 W Eugie Ave
Ste 204
Glendale, AZ 85304
Phone (623) 244-0050

1951 Mesquite Ave
Ste I
Lk Havasu Cty, AZ 86403
Phone (928) 208-4300

1800 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 459-3116

198 S Coronado Dr
Ste B
Sierra Vista, AZ 85635
Phone (520) 439-0115

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24976/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 5

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1023697828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352756",
            "telephone_number": "520-459-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352756",
            "telephone_number": "520-459-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "250284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.