Bertha Martinez Nunez, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Midland, TX
NPI 1104596360 · NPPES record last updated Sep 17, 2021
Key facts
- NPI
- 1104596360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1040085 (TX)
- Practice address
- 3415 N Loop 250 W BLDG 4
Midland, TX 79707-6034 - Phone
- (432) 221-3300
- Fax
- (432) 221-3313
- NPI assigned
- Sep 17, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211116002210 | TX | Practitioner - Nurse Practitioner | 5092104844 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1040085 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ector County Hospital District | Current |
Accepting new patients | |
| Ector County Hospital District | Current | Accepting new patients | |
| Ector County Hospital District | Current |
Accepting new patients |
Locations
840 W Clements St
Odessa, TX 79763
Phone (432) 333-3888
3001 John Ben Shepperd Pkwy
Odessa, TX 79762
Phone (432) 640-6700
3001 John Ben Shepperd Pkwy
Ste 100
Odessa, TX 79762
Phone (432) 640-6772
500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000
Interoperability endpoints
- bertha.martinez.1@3522.direct.athena.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1040085 | TX | Yes |
Addresses
Primary practice location
3415 N Loop 250 W BLDG 4
Midland, TX 79707-6034
Mailing address
4214 Andrews Hwy Ste 240
Midland, TX 79703-4817
Phone (432) 686-6605
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1040085 | Other | TX | TEXAS NURSING BOARD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BERTHA.MARTINEZ.1@3522.DIRECT.ATHENA.COM | Direct |
Other providers in Midland, TX
- Marta Willoughby MD PA
- Martha Ramos, PLLC
- Brian N. Martin
- Gina Adams Martin
- Julie Elisabeth Martin
- Elidanis Martinez Rodriguez
- Alma Veronica Martinez
- Guadalupe Linda Martinez
- Maria Fernanda Martinez
- Mary Elizabeth Oneill PC Crna
All providers in Midland, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2021. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.