Lisa Marie Martinez, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP007587 Issued in PA

Practice address

3365 High Point Blvd
Bethlehem, PA 18017-7806

Phone

(610) 954-5433

NPI assigned

Jun 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lisa Gergar Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lmartinez2@physiciansolutionsgrp.com
• Direct secure messaging: lisa.martinez.1@22854.direct.athenahealth.com

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.

• Osh - PA Physicians Group, PC

  • Primary Care Clinic/Center
  • Philadelphia, PA
  • NPI 1811405533

  Family

  Medicare reassignment NPD
• Kidney Care Specialists LLC

  • Nephrology Physician
  • Broomall, PA
  • NPI 1962992404
  NPD (past)
• Seniorlife Lehigh Valley, Inc.

  dba SeniorLIFE Lehigh Valley

  • PACE Provider Organization
  • Bethlehem, PA
  • NPI 1356789358
  NPD (past)

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1043659592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 HIGH POINT BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177806",
            "telephone_number": "610-954-5433",
            "fax_number": "610-691-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 HIGH POINT BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177806",
            "telephone_number": "610-954-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 E Moreland Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191183541",
            "country_code": "US",
            "telephone_number": "267-385-5538",
            "fax_number": "267-437-3176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043659592",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bethlehem",
            "affiliation": "N",
            "endpointDescription": "work address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3365 High Point Blvd",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180177806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LMartinez2@physiciansolutionsgrp.com",
            "affiliation": "N",
            "endpointDescription": "work address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3365 High Point Blvd",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180177806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GERGAR",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tania Consuelo Martinez-Jimenez, M.D.
• Maria A Martinez-Ramos, M.D.
• Brendon Lee Martinez, DPT
• Davianny Martinez
• Kayla Martinez
• Marcos Manuel Martinez, M.D.
• Megan Martinez
• Michelle Martinez, BA
• Shelley Martinez, CRNP
• Natalie Martino

• Family Nurse Practitioner in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.