Individual provider Active NPI

Randi Chantel Martin, FNP-C

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1073463485
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227540 Issued in OK
Practice address
101 W Hefner Rd Ste 100
Oklahoma City, OK 73114-6631
Phone
(551) 525-4552
NPI assigned
Feb 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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 227540 OK Primary

Addresses

Primary practice location

101 W Hefner Rd Ste 100
Oklahoma City, OK 73114-6631

Mailing address

218 W Main St
Purcell, OK 73080-4222
Phone (405) 967-0731

Other practice location 1

218 W Main St
Purcell, OK 73080-4222
Phone (405) 967-0731

Other names 1

  • Chantel Chantel Martin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20260312000603 OK Practitioner - Nurse Practitioner 9931682564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ennoble HC NJ PCGroup PAC ID 0345638185, 129 clinicians

Practice addresses (Care Compare)

3209 S Broadway
Suite 229
Edmond, OK 73013-4064
Phone (551) 295-8223

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0113773OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Green Life Health and Wellness PLLC Current Accepting new patients
Ennoble HC NJ II PC CurrentSince Mar 9, 2026 Accepting new patients
Ennoble HC NJ PC CurrentSince Mar 9, 2026 Accepting new patients
Ennoble HC NJ III PC CurrentSince Mar 9, 2026 Accepting new patients

Locations

3209 S Broadway
Ste 229
Edmond, OK 73013
Phone 5512958223 ext. 58223

101 W Hefner Rd
Ste 100
Oklahoma City, OK 73114
Phone (405) 896-8058

218 W Main St
Purcell, OK 73080
Phone (405) 890-1005

Organizations & group practices 4

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 1

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": "1770076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1073463485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W MAIN ST",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730804222",
            "telephone_number": "405-967-0731",
            "fax_number": "405-220-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W HEFNER RD STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146631",
            "telephone_number": "551-525-4552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 W Main St",
            "address_purpose": "LOCATION",
            "city": "Purcell",
            "state": "OK",
            "postal_code": "730804222",
            "country_code": "US",
            "telephone_number": "405-967-0731",
            "fax_number": "405-220-1537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RANDI",
        "middle_name": "CHANTEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "227540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTEL",
            "last_name": "MARTIN",
            "middle_name": "CHANTEL",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.