Individual provider Active NPI

Joshua D Martin, DNP-NP/C

  • Nurse Practitioner
  • Petoskey, MI
National Provider Identifier
1134421084
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704264774 Issued in MI
Practice address
416 Connable Ave
Petoskey, MI 49770-2212
Phone
(800) 248-6777
NPI assigned
Nov 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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 4704264774 MI Primary

Addresses

Primary practice location

416 Connable Ave
Petoskey, MI 49770-2212

Mailing address

4100 Embassy Dr SE Ste 400
Grand Rapids, MI 49546-2416
Phone (616) 975-1845

Other practice location 1

1140 N State St
Saint Ignace, MI 49781-1048
Phone (303) 390-1940

Other identifiers 1

IdentifierTypeStateIssuer
1134421084MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110401000826 MI Practitioner - Nurse Practitioner 5890745111 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians

Practice addresses (Care Compare)

1140 N State St
Saint Ignace, MI 49781-1048
Phone (906) 643-7999

Hospital & facility affiliations

  • Mackinac Straits Hospital and Health Center Hospital, Saint Ignace, MI, CCN 231306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients
McLaren Northern Michigan CurrentSince Jun 12, 2023 Accepting new patients
Munising Memorial Hospital Association CurrentSince Jul 8, 2015 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Nov 1, 2025 Accepting new patients
Center for Pulmonary and Sleep Medicine PC CurrentSince Mar 30, 2014 Accepting new patients
Mackinac Straits Health System Inc Current Accepting new patients
Mercy Health Partners Sub-Specialty Services Nurse Practitioner CurrentSince Feb 1, 2022 Accepting new patients
Rural Physicians Group-Pannu PLLC Nurse Practitioner CurrentSince Feb 3, 2026 Accepting new patients
Ecs Northern Michigan PC CurrentSince Jan 1, 2026 Accepting new patients
McLaren Northern Michigan CurrentSince Jun 12, 2023 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Nov 1, 2025 Accepting new patients
Munising Memorial Hospital Association CurrentSince Jul 8, 2015 Accepting new patients
Mackinac Straits Health System Inc Past Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

748 S Main St
Cheboygan, MI 49721
Phone (231) 627-5601

4100 Embassy Dr SE
Ste 400
Grand Rapids, MI 49546
Phone (616) 285-8075

1500 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4110

1277 Mercy Dr
Slp Ctr
Muskegon, MI 49444
Phone (231) 672-6186

1560 E Sherman Blvd
Ste 250
Muskegon, MI 49444
Phone (231) 672-8145

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

560 W Mitchell St
Ste 505
Petoskey, MI 49770
Phone (231) 487-2100

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500

Interoperability endpoints

  • Direct secure messaging: jmartin1636251@direct.trinity-health.org
  • Direct secure messaging: joshuamartin@cpsm.allscriptsdirect.net
  • Direct secure messaging: jmartin131961@mymichiganhealth.midirect.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1134421084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 EMBASSY DR SE STE 400",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462416",
            "telephone_number": "616-975-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CONNABLE AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702212",
            "telephone_number": "800-248-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 N State St",
            "address_purpose": "LOCATION",
            "city": "Saint Ignace",
            "state": "MI",
            "postal_code": "497811048",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOSHUA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DNP-NP/C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-29",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704264774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134421084",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.