Meghann Faye Martus, MSN, RN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F09151190 Issued in IN

Practice address

5433 Fitz Ave
Portage, IN 46368-1414

Phone

(219) 763-7854

NPI assigned

Oct 7, 2015

Last updated

Oct 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1154791887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 FITZ AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463681414",
            "telephone_number": "219-763-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 FITZ AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463681414",
            "telephone_number": "219-763-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTUS",
        "first_name": "MEGHANN",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28186004A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F09151190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Marcotte, FNP
• Jennifer S Marcotte, COTA
• Claudia Martinez
• Karina Martinez, RBT
• Ryan Martini, PA-C
• Matthew Hearn LTD
• Gwendolyn M Matusz, COTA
• Luke McAuley, OT
• Michelle Lynn McBrayer, LCSW
• Ellen M McCue

• Family Nurse Practitioner in Portage, IN
• Providers in Portage, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.