Individual provider Active NPI

Martha L Santamaria, ANP

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1174713754
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1088078 Issued in TX
Practice address
8501 Wade Blvd Ste 1160
Frisco, TX 75034-0246
Phone
(469) 384-2350
Fax
(469) 384-2359
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP1088078 TX Primary
Women's Health Nurse Practitioner 363LW0102X 652804 TX

Addresses

Primary practice location

8501 Wade Blvd Ste 1160
Frisco, TX 75034-0246

Mailing address

8501 Wade Blvd Ste 1160
Frisco, TX 75034-0246
Phone (469) 384-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080506000274 TX Practitioner - Nurse Practitioner 9931288768 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revive Med Partners, LLCGroup PAC ID 7618419920, 12 clinicians
Imed Physician Network, Inc.Group PAC ID 6608103155, 45 clinicians

Practice addresses (Care Compare)

2570 FM
407 Suite 160
Highland Village, TX 75077-3055
Phone (972) 236-7060

2700 W Pleasant Run Rd
Suite 340
Lancaster, TX 75146-1074
Phone (469) 284-0782

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1088078TXMDFamily Nurse Practitioner
652804TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ata Healthcare and Wellness PLLC CurrentSince Aug 30, 2024 Accepting new patients
Revive Med Partners, LLC Family CurrentSince Apr 14, 2025 Accepting new patients
Imed Physician Network, Inc. CurrentSince May 1, 2025 Accepting new patients
Revive PCMS McKinney LLC CurrentSince Sep 2, 2025 Accepting new patients
Revive Med Partners I LLC CurrentSince Mar 23, 2025 Accepting new patients

Locations

8100 John W Carpenter Fwy
Ste 150
Dallas, TX 75247
Phone (972) 672-4895

8501 Wade Blvd
Ste 1160
Frisco, TX 75034
Phone (469) 384-2350

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

2570 Justin Rd
Ste 160
Lewisville, TX 75077
Phone (972) 236-7060

4987 W University Dr
Ste 150
McKinney, TX 75071
Phone (214) 548-5033

2380 E Park Blvd
Ste 300
Plano, TX 75074
Phone (972) 633-8747

Interoperability endpoints

  • Direct secure messaging: marthasantamaria@adwh.allscriptsdirect.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1174713754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 WADE BLVD STE 1160",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340246",
            "telephone_number": "469-384-2350",
            "fax_number": "469-384-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 WADE BLVD STE 1160",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340246",
            "telephone_number": "469-384-2350",
            "fax_number": "469-384-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTAMARIA",
        "first_name": "MARTHA",
        "middle_name": "L",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1088078",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "652804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.