Individual provider Active NPI

Ashley M Martin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Marcos, TX
National Provider Identifier
1063194009
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1126409 Issued in TX
Practice address
151 Stagecoach TRL Ste 220
San Marcos, TX 78666-3863
Phone
(844) 824-8775
NPI assigned
Aug 1, 2023
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1126409 TX Primary

Addresses

Primary practice location

151 Stagecoach TRL Ste 220
San Marcos, TX 78666-3863

Mailing address

151 Stagecoach TRL Ste 220
San Marcos, TX 78666-3863
Phone (844) 824-8775

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231024001779 TX Practitioner - Nurse Practitioner 1759737919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

151 Stagecoach TRL
Suite 220
San Marcos, TX 78666-3863
Phone (844) 824-8775

Merit-based Incentive Payment System (MIPS)

Final score
91.89 of 100Reported as apm
Quality
78.84
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1126409TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Psychiatric/Mental Health CurrentSince Oct 8, 2024 Accepting new patients
Pak Medical Group, PLLC CurrentSince Oct 9, 2023 Accepting new patients

Locations

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

1260 River Acres Dr
New Braunfels, TX 78130
Phone (830) 620-0956

1672 Independence Dr
Ste 310
New Braunfels, TX 78132
Phone (830) 730-5025

1762 E Common St
New Braunfels, TX 78130
Phone (830) 730-4131

151 Stagecoach Trl
Ste 220
San Marcos, TX 78666
Phone (210) 858-9772

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.ashleymartin@136732.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1063194009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 STAGECOACH TRL STE 220",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786663863",
            "telephone_number": "844-824-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 STAGECOACH TRL STE 220",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786663863",
            "telephone_number": "844-824-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1126409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.