Individual provider Active NPI

Alyssa Martin, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1114541117
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014544 Issued in CA
Practice address
1001 Sylvan Ave Ste a
Modesto, CA 95350-1699
Phone
(209) 248-7168
Fax
(209) 846-9641
NPI assigned
Jun 4, 2020
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95014544 CA
Family Nurse Practitioner 363LF0000X 95014544 CA Primary
Primary Care Nurse Practitioner 363LP2300X 95014544 CA

Addresses

Primary practice location

1001 Sylvan Ave Ste a
Modesto, CA 95350-1699

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other practice location 1

1541 Florida Ave Ste 200
Modesto, CA 95350-4438
Phone (209) 577-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220210000579 CA Practitioner - Nurse Practitioner 8426441668 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1409 E Briggsmore Ave
Modesto, CA 95355-2707
Phone (209) 524-1211

1552 Coffee Rd
Suite 200
Modesto, CA 95355-3122
Phone 2092487168151

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Bariatric Surgery, Partnership CurrentSince Jan 6, 2025 Accepting new patients
Central California Bariatric Surgery a Medical Corporation CurrentSince Jun 1, 2023 Accepting new patients

Locations

1001 Sylvan Ave
Ste A
Modesto, CA 95350
Phone (209) 248-7168

1552 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 248-7168

644 E Harding Way
Stockton, CA 95204

644 E Harding Way
Ste B
Stockton, CA 95204
Phone (209) 244-9191

Interoperability endpoints

  • Direct secure messaging: amartin618102@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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.

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": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1114541117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "800-470-0071",
            "fax_number": "916-854-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SYLVAN AVE STE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501699",
            "telephone_number": "209-248-7168",
            "fax_number": "209-846-9641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1541 Florida Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504438",
            "country_code": "US",
            "telephone_number": "209-577-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ALYSSA",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014544",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014544",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95014544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.