Active NPI
Joseph Clayton Martin, FNP-C
- Family Nurse Practitioner
- Petersburg, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71013760A
- Practice address
- 611 E Main St Ste 110
Petersburg, IN 47567-1270 - Phone
- (812) 354-8785
- Fax
- (812) 354-8786
- NPI assigned
- Jun 28, 2021
- Last updated
- May 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NUR-APRN-LIC-175155 | MT | |
| Family Nurse Practitioner | 363LF0000X | 209.027107 | IL | |
| Family Nurse Practitioner | 363LF0000X | 71013760A | IN | Primary |
Addresses
Primary practice location
611 E Main St Ste 110
Petersburg, IN 47567-1270
Mailing address
280 E Jingle Bell LN
Santa Claus, IN 47579-6083
Phone (812) 608-0245
Other practice location 1
819 Bloomington Rd
Champaign, IL 61820-2101
Phone (217) 356-1558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 E Main St
Suite 110
Petersburg, IN 47567-1270
Phone (812) 354-8785
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.027107 | IL | MD | Family Nurse Practitioner |
| 71013760A | IN | MD | Family Nurse Practitioner |
| NUR-APRN-LIC-175155 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Family Health Center, Inc. | Current | Accepting new patients | |
| Promise Healthcare NFP | Current | Accepting new patients | |
| Good Samaritan Family Health Center, Inc | Current | Accepting new patients | |
| Promise Healthcare NFP | Current | Accepting new patients | |
| Good Samaritan Family Health Center, Inc. | Current | Accepting new patients | |
| Promise Healthcare NFP | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558
821 S Neil St
Champaign, IL 61820
Phone (217) 356-1558
611 E Main St
Ste 110
Petersburg, IN 47567
Phone (812) 354-8426
1027 Washington Ave
Vincennes, IN 47591
Phone (812) 494-7500
1027 Washington Ave
#B
Vincennes, IN 47591
Phone (812) 494-7500
515 Bayou St
Vincennes, IN 47591
Phone (812) 886-0907
2007 State St
Washington, IN 47501
Phone (812) 254-1558
Interoperability endpoints
- jmartin221477@direct.deaconess.com
- joseph.martin.p11@direct.fhn-fqhc.nextgenshare.com
Organizations & group practices 7
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.
-
dba Family Health Center
- Federally Qualified Health Center (FQHC)
- Vincennes, IN
- NPI 1174031256
-
dba Frances Nelson Health Center
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1578821005
-
dba Family Health Center
- Federally Qualified Health Center (FQHC)
- Washington, IN
- NPI 1063302545
-
dba Family Health Center
- Federally Qualified Health Center (FQHC)
- Petersburg, IN
- NPI 1780392373
-
dba Frances Nelson Health Center
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1073938882
-
dba Promise Healthcare - Ready School
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1801687728
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Memorial Hospital & Health Care Center
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
-
dba Center for Therapy and Sports Performance
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1073183646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 E JINGLE BELL LN",
"city": "SANTA CLAUS",
"state": "IN",
"postal_code": "475796083",
"telephone_number": "812-608-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E MAIN ST STE 110",
"city": "PETERSBURG",
"state": "IN",
"postal_code": "475671270",
"telephone_number": "812-354-8785",
"fax_number": "812-354-8786"
}
],
"practiceLocations": [
{
"address_1": "819 Bloomington Rd",
"address_purpose": "LOCATION",
"city": "Champaign",
"state": "IL",
"postal_code": "618202101",
"country_code": "US",
"telephone_number": "217-356-1558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "JOSEPH",
"middle_name": "CLAYTON",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-28",
"last_updated": "2024-05-10",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "NUR-APRN-LIC-175155",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.027107",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71013760A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.