Melissa A Martinez, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10975 Issued in MN

Practice address

1175 58TH Ave
Greeley, CO 80634-4807

Phone

(970) 495-0444

Fax

(970) 488-3106

NPI assigned

Jan 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Intermountain Anesthesia Professional Consultants LLPGroup PAC ID 2860474228, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Intermountain Anesthesia Professional Consultants, LLP

  • Interventional Pain Medicine Physician
  • Greeley, CO
  • NPI 1891793022
  Medicare reassignment Care Compare group
• Arcis Healthcare

  • Neurological Surgery Physician
  • Columbia, SC
  • NPI 1134231996
  NPD (past)

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1063697449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 58TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344807",
            "telephone_number": "970-495-0444",
            "fax_number": "970-488-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 58TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344807",
            "telephone_number": "970-495-0444",
            "fax_number": "970-488-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2007-0035",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "10975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavenly Martinez, RMT
• Janet Martinez, BA
• Juana Jannette Martinez
• Marcia Martinez
• Matthew Leonard Martinez, MD
• Raymond George Martinez
• Roland Dario Martinez, D.C.
• Tanya Martinez, RBT
• Aditya Marwaha, DDS
• Shawna Kay Mascarenas

• Medical Physician Assistant in Greeley, CO
• Providers in Greeley, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.