Individual provider Active NPI

Susan Denise Martin, APRN-CNP

  • Acute Care Nurse Practitioner
  • Killeen, TX
National Provider Identifier
1174868376
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
CNP-02195 Issued in NM
Practice address
2201 Clear Creek Rd
Killeen, TX 76549-4110
Phone
(254) 526-7523
NPI assigned
Nov 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP122698 TX
Acute Care Nurse Practitioner 363LA2100X CNP-02195 NM Primary
Nurse Practitioner 363L00000X 207370 OK

Addresses

Primary practice location

2201 Clear Creek Rd
Killeen, TX 76549-4110

Mailing address

11113 Research Blvd
Austin, TX 78759-5236
Phone (512) 324-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151106002254 TX Practitioner - Nurse Practitioner 6103956891 Reassigns benefits to 4 organizations
I20231009001632 LA Practitioner - Nurse Practitioner 6103956891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Practice addresses (Care Compare)

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

Hospital & facility affiliations

  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152
  • Hamilton General Hospital Hospital, Hamilton, TX, CCN 451392
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054
  • Adventhealth Rollins Brook Hospital, Lampasas, TX, CCN 451323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207370OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians of Texas I, Inc CurrentSince Dec 1, 2019 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc CurrentSince Dec 1, 2019 Accepting new patients
West Texas Digestive Disease Center, PA Nurse Practitioner CurrentSince May 21, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Nurse Practitioner CurrentSince Nov 20, 2017 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Current Accepting new patients
Cogent Healthcare of Texas, PA Nurse Practitioner CurrentSince Feb 1, 2019 Accepting new patients
South Plains Pathology Inc Past Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Past Accepting new patients

Locations (25 of 26)

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

5115 80th St
Lubbock, TX 79424
Phone (806) 788-4368

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

Organizations & group practices 8

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 5

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": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1174868376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11113 RESEARCH BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595236",
            "telephone_number": "512-324-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CLEAR CREEK RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494110",
            "telephone_number": "254-526-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SUSAN",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP122698",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "CNP-02195",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "207370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.