Jennifer Ann Martin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.130671 Issued in OH

Practice address

825 N Main St Ste 140
Springboro, OH 45066-2100

Phone

(937) 762-5000

Fax

(937) 762-5099

NPI assigned

Apr 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jennifer Ann Mills Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

University of Kentucky College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Total HealthcareGroup PAC ID 1052214814, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013
• Pagosa Springs Medical Center Hospital, Pagosa Springs, CO, CCN 061328

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Total Healthcare

  • Family Medicine Physician
  • Durango, CO
  • NPI 1144831033
  Medicare reassignment Care Compare group NPD
• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  Medicare reassignment NPD
• Alliance Physicians Inc

  • Family Medicine Physician
  • Miamisburg, OH
  • NPI 1841556727
  NPD
• Total Healthcare

  • Family Medicine Physician
  • Durango, CO
  • NPI 1073869467
  NPD
• Total Healthcare

  • Hematology & Oncology Physician
  • Colorado Springs, CO
  • NPI 1669420410
  NPD
• Catholic Health Initiatives Colorado

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1376690875
  NPD (past)
• Total Healthcare

  • Family Medicine Physician
  • Bayfield, CO
  • NPI 1992316095
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1083611644
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1588204010
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1679113104
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Aztec, NM
  • NPI 1770123382
  Care Compare affiliation
• Upper San Juan Health Service District

  • Critical Access Hospital
  • Pagosa Springs, CO
  • NPI 1245401561
  Care Compare affiliation

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1124448543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N MAIN ST STE 140",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450662100",
            "telephone_number": "937-762-5000",
            "fax_number": "937-762-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N MAIN ST STE 140",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450662100",
            "telephone_number": "937-762-5000",
            "fax_number": "937-762-5099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Wolverine Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bayfield",
            "state": "CO",
            "postal_code": "811229653",
            "country_code": "US",
            "telephone_number": "970-764-9150",
            "fax_number": "970-764-9159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0074733",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.130671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227107",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmartin178971@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "825 N Main St Ste 140",
            "city": "Springboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450662100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "825 N Main St Ste 140",
            "city": "Springboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450662100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MILLS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keith D Lykins, LCDCII
• Nicholas James Madigan, LPC
• Alesia F Marcum, LPCC-S
• Ashley Marolo, RD
• Kayla Marrero
• Dena Elise Mason Zied, DO
• Navid Masoudi, PHD
• Megan Elise Mathias
• Charles Robert McCormick Jr., DDS
• Kazi McDowell

• Family Medicine Physician in Springboro, OH
• Providers in Springboro, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.