Elanie Deshea Martens, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30164 Issued in SC

Practice address

3420 Bruce RDG
Clover, SC 29710-6018

Phone

(417) 350-9775

NPI assigned

Jun 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Missouri Medical College, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Epic Care Health LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Fort Mill, SC
  • NPI 1942877287
  Medicare reassignment

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1124698204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 BRUCE RDG",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297106018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 BRUCE RDG",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297106018",
            "telephone_number": "417-350-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENS",
        "first_name": "ELANIE",
        "middle_name": "DESHEA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420098531",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Marie Lightsey, FNP
• Amy Little, DO
• Devin Long
• Griffin N. Love, DPT
• Mano de Aura Telehealth
• Cierra Marie Martinez
• Scottie Ann McClure
• Anna Grace McLaughlin, LISW-CP, LCSW
• Tara Mehta, PH.D.
• Modern Dental Care

• Family Nurse Practitioner in Clover, SC
• Providers in Clover, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.