Individual provider Active NPI

Olivia Camille Martinez, FNP-BC

  • Family Nurse Practitioner
  • Troy, NY
National Provider Identifier
1174297709
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348011 Issued in NY
Practice address
720 Hoosick Rd
Troy, NY 12180-6673
Phone
(518) 687-9779
Fax
(518) 687-9780
NPI assigned
Aug 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348011 NY Primary

Addresses

Primary practice location

720 Hoosick Rd
Troy, NY 12180-6673

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

319 S Manning Blvd Ste 307
Albany, NY 12208-1743
Phone (518) 689-9779

Other practice location 2

4 Congress Pl
Saratoga Springs, NY 12866-4180
Phone (518) 687-9779

Other practice location 3

250 Delaware Ave Ste 100
Delmar, NY 12054-1402
Phone (518) 439-8077

Other identifiers 1

IdentifierTypeStateIssuer
06799664MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210819002265 NY Practitioner - Nurse Practitioner 8325443914 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians

Practice addresses (Care Compare)

713 Troy Schenectady Rd
Suite 224
Latham, NY 12110-2490
Phone (518) 785-5881

720 Hoosick Rd
Troy, NY 12180-6673
Phone (518) 687-9779

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348011NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Jan 5, 2026 Accepting new patients
Community Care Physicians, PLLC CurrentSince Dec 13, 2021 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2021 Accepting new patients
Community Care Physicians, PC Past Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Past Accepting new patients

Locations

319 S Manning Blvd
Ste 307
Albany, NY 12208
Phone (518) 525-5208

250 Delaware Ave
Ste 100
Delmar, NY 12054
Phone (518) 274-0476

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

713 Troy Schenectady Rd
Ste 224
Latham, NY 12110
Phone (518) 785-3614

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

4 Congress Pl
Saratoga Springs, NY 12866
Phone (518) 450-4594

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

720 Hoosick Rd
Troy, NY 12180
Phone (518) 272-7191

1301 River St
Ste 204
Valatie, NY 12184
Phone (518) 392-8600

Interoperability endpoints

  • Direct secure messaging: oliviamartinez@ccp.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1174297709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806673",
            "telephone_number": "518-687-9779",
            "fax_number": "518-687-9780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 S Manning Blvd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081743",
            "country_code": "US",
            "telephone_number": "518-689-9779",
            "fax_number": "518-687-9780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Congress Pl",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128664180",
            "country_code": "US",
            "telephone_number": "518-687-9779",
            "fax_number": "518-687-9780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Delaware Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Delmar",
            "state": "NY",
            "postal_code": "120541402",
            "country_code": "US",
            "telephone_number": "518-439-8077",
            "fax_number": "518-439-8070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "OLIVIA",
        "middle_name": "CAMILLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06799664",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "720 Hoosick Rd",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121806673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.