Individual provider Active NPI

Jayme Martell, DNP

  • Family Nurse Practitioner
  • Wishek, ND
National Provider Identifier
1043949183
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R40236 Issued in ND
Practice address
1007 4TH Ave S
Wishek, ND 58495-7527
Phone
(701) 452-2326
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R40236 ND Primary

Addresses

Primary practice location

1007 4TH Ave S
Wishek, ND 58495-7527

Mailing address

PO Box 647
Wishek, ND 58495-0647
Phone (701) 452-2326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20221213002838 ND Practitioner - Nurse Practitioner 7719356765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wishek Hospital-Clinic AssociationGroup PAC ID 8022920958, 17 clinicians

Practice addresses (Care Compare)

1015 4TH Ave S
Wishek, ND 58495-7527
Phone (701) 452-2364

Hospital & facility affiliations

  • Hia Hospice Hospice, Fargo, ND, CCN 351500
  • South Central Health Hospital, Wishek, ND, CCN 351321
  • Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015
  • CHI St Alexius Health Hospital, Bismarck, ND, CCN 350002
  • Ashley Medical Center Hospital, Ashley, ND, CCN 351322
  • Jamestown Regional Medical Center Hospital, Jamestown, ND, CCN 351335
  • South Central Health Nursing home, CCN 35Z321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R40236NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wishek Hospital-Clinic Association Current Accepting new patients
Wishek Hospital-Clinic Association CurrentSince Sep 6, 2022 Accepting new patients
Wishek Hospital-Clinic Association CurrentSince Sep 6, 2022 Accepting new patients
Wishek Hospital-Clinic Association Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmartell@whc.securechart.com

Organizations & group practices 5

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 7

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1043949183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "WISHEK",
            "state": "ND",
            "postal_code": "584950647",
            "telephone_number": "701-452-2326",
            "fax_number": "701-452-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 4TH AVE S",
            "city": "WISHEK",
            "state": "ND",
            "postal_code": "584957527",
            "telephone_number": "701-452-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELL",
        "first_name": "JAYME",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R40236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wishek, ND

Sources for this page

Verify at the official NPI Registry.