Individual provider Active NPI

Jennifer Starnes Martyak, MSN, NP-C

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1114302817
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5007841 Issued in NC
Practice address
108 Providence Rd
Charlotte, NC 28207-1218
Phone
(336) 481-8655
Fax
(336) 277-9165
NPI assigned
Jul 22, 2015
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5007841 NC Primary

Addresses

Primary practice location

108 Providence Rd
Charlotte, NC 28207-1218

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1225

Other practice location 1

8310 University Exec Park Dr
suite 550
Charlotte, NC 28262-3383
Phone (704) 384-1225

Other practice location 2

8420 University Exec Park Dr Ste 850
Charlotte, NC 28262-1308
Phone (704) 384-1225

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmartyak400200@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150916002841 NC Practitioner - Nurse Practitioner 3476860818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

108 Providence Rd
Charlotte, NC 28207-1218
Phone (336) 481-8655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 1, 2016 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 1, 2016 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 9, 2022 Accepting new patients

Locations

108 Providence Rd
Charlotte, NC 28207
Phone (336) 277-3431

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

8310 University Exec Park Dr
Ste 550
Charlotte, NC 28262
Phone (704) 384-0684

8420 University Exec Park Dr
Ste 850
Charlotte, NC 28262
Phone (704) 316-3850

8919 Park Rd
Charlotte, NC 28210
Phone (704) 384-1225

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: jmartyak400200@direct.novanthealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1114302817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PROVIDENCE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071218",
            "telephone_number": "336-481-8655",
            "fax_number": "336-277-9165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8310 University Exec Park Dr",
            "address_2": "suite 550",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623383",
            "country_code": "US",
            "telephone_number": "704-384-1225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8420 University Exec Park Dr Ste 850",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282621308",
            "country_code": "US",
            "telephone_number": "704-384-1225",
            "fax_number": "704-384-1226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTYAK",
        "first_name": "JENNIFER",
        "middle_name": "STARNES",
        "name_prefix": "Mrs.",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmartyak400200@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8310 University Exec Park Dr",
            "address_2": "suite 550",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282623383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.