Jamie Martin, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Pikeville, KY
NPI 1104240639 · NPPES record last updated Oct 5, 2022
Key facts
- NPI
- 1104240639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 3008509 (KY)
- Practice address
- 911 Bypass Rd BLDG a
Pikeville, KY 41501-1689 - Phone
- (606) 430-3500
- Fax
- (606) 437-1033
- NPI assigned
- Feb 4, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pikeville Medical Center Inc
Practice addresses (Care Compare)
184 S Mayo Trail
Pikeville, KY 41501-1518
Phone (606) 430-2213
911 Bypass Rd
Pikeville, KY 41501-1689
Hospital & facility affiliations
- Pikeville Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 81.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.83
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140306000176 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7719117076 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pikeville Medical Center Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Triangle Anesthesia Group PSC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Commonwealth Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Pikeville Medical Center Inc. | Current |
Accepting new patients | |
| Pikeville Medical Center Inc | Current |
Accepting new patients |
Locations
100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112
3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700
184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213
911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201
911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530
260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700
Interoperability endpoints
- jmartin21724@pikevillekydirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3008509 | KY | Yes |
Addresses
Primary practice location
911 Bypass Rd BLDG a
Pikeville, KY 41501-1689
Mailing address
PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-3500
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmartin21724@PIKEVILLEKYDIRECT.ORG | Direct |
Other providers in Pikeville, KY
- Ronald F Mann
- Manosh Vongvises, M.D., Inc.
- Samantha N Marasek
- Marrowbone Hometown Pharmacy Inc
- Gerri Martin
- Nida Mateen
- Sarah L Matharoo
- Kesheia Brooke Matheny
- Maximum Healthcare of Pikeville, LLC
- Bethany Gayle May
All providers in Pikeville, KY · Certified Registered Nurse Anesthetist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.