Lisa H Martin, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R043677 Issued in ME

Practice address

309 Saint Thomas St Ste 213
Madawaska, ME 04756-1278

Phone

(207) 728-3971

Fax

(207) 728-3970

NPI assigned

Jul 21, 2008

Last updated

Dec 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lmartin1@yourcarecommunity.org

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.

• Fish River Rural Health

  • Federally Qualified Health Center (FQHC)
  • Fort Kent, ME
  • NPI 1174741094
  NPD
• Fish River Rural Health

  • Federally Qualified Health Center (FQHC)
  • Madawaska, ME
  • NPI 1467902668
  NPD
• Fish River Rural Health

  • Federally Qualified Health Center (FQHC)
  • Van Buren, ME
  • NPI 1528608437
  NPD

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1063677987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SAINT THOMAS ST STE 213",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561278",
            "telephone_number": "207-728-3971",
            "fax_number": "207-728-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SAINT THOMAS ST STE 213",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561278",
            "telephone_number": "207-728-3971",
            "fax_number": "207-728-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Bolduc Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Kent",
            "state": "ME",
            "postal_code": "047431602",
            "country_code": "US",
            "telephone_number": "207-834-3971 x614",
            "fax_number": "207-834-3837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LISA",
        "middle_name": "H",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R043677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin J Madore, MHRT-CSP, MHRT-C
• Jonathan E. Madore, BHP
• Mercedes Madore
• Chelsea Elizabeth Martin, DO
• Elise Anne Martin, RN
• Lori A Martin, LCSW
• Debbra A McGlaughlin, FNP
• Dennis P. Michaud, MHRT-C
• Kayla CL Michaud, LCSW
• Maleka Michaud

• Family Nurse Practitioner in Madawaska, ME
• Providers in Madawaska, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.