Individual provider Active NPI

Jolena M Martin, PA-C

  • Physician Assistant
  • Saratoga, WY
National Provider Identifier
1184733743
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA860 Issued in WY
Practice address
1012 West Bridge St
Saratoga, WY 82331
Phone
(307) 329-3340
Fax
(307) 225-2095
NPI assigned
Aug 29, 2006
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA860 WY Primary

Addresses

Primary practice location

1012 West Bridge St
Saratoga, WY 82331

Mailing address

PO Box 930
Saratoga, WY 82331-0930
Phone (217) 474-5658

Other identifiers 2

IdentifierTypeStateIssuer
385364383OtherTRICARE PROVIDER NUMBER
P00382765OtherRAILROAD MEDICARE

Other names 1

  • Ms. Jolena M. King, Sosamon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, TX2 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
I20200309000206 WY Practitioner - Physician Assistant 7214959295 Reassigns benefits to 1 organization
I20211019000197 TX Practitioner - Physician Assistant 7214959295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathfinder Medical LLCGroup PAC ID 6901304773, 2 clinicians

Practice addresses (Care Compare)

116 W Bridge Ave
Saratoga, WY 82331-5065
Phone (307) 329-3340

PO Box
Suite 930
Saratoga, WY 82331-0930

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pathfinder Medical LLC CurrentSince Aug 30, 2025 Accepting new patients
Freedom Urgent Care PLLC CurrentSince Jul 27, 2022 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients
Christie Clinic, PLLC PastSince May 15, 2001 Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients

Locations

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

300 W Central Texas Expy
Ste 115
Killeen, TX 76548
Phone (254) 383-2481

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1184733743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "823310930",
            "telephone_number": "217-474-5658",
            "fax_number": "307-225-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 WEST BRIDGE ST",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "82331",
            "telephone_number": "307-329-3340",
            "fax_number": "307-225-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOLENA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER NUMBER",
            "identifier": "385364383",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00382765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLENA",
            "last_name": "KING, SOSAMON",
            "middle_name": "M.",
            "prefix": "MS.",
            "credential": "P.A.-C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saratoga, WY

Sources for this page

Verify at the official NPI Registry.