Individual provider Active NPI

Michelle Stephany Martinez, PA-C

  • Medical Physician Assistant
  • Boiling Springs, NC
National Provider Identifier
1235784869
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-10442 Issued in NC
Practice address
110 S Main St
Boiling Springs, NC 28017-9797
Phone
(714) 381-4133
NPI assigned
Aug 9, 2019
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-10442 NC
Medical Physician Assistant 363AM0700X 0010-10442 NC Primary

Addresses

Primary practice location

110 S Main St
Boiling Springs, NC 28017-9797

Mailing address

102 W 1St Ave Ste C
Lexington, NC 27292-3695
Phone (704) 237-4240

Other identifiers 1

IdentifierTypeStateIssuer
0010-10442OtherNCNC MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240821003735 NC Practitioner - Physician Assistant 8325586308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-10442NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Noblecare Med, PLLC Current Accepting new patients
Center for Emotional Health PastSince Jan 17, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1235784869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 1ST AVE STE C",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272923695",
            "telephone_number": "704-237-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MAIN ST",
            "city": "BOILING SPRINGS",
            "state": "NC",
            "postal_code": "280179797",
            "telephone_number": "714-381-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MICHELLE",
        "middle_name": "STEPHANY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10442",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-10442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL BOARD",
            "identifier": "0010-10442",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, NC

Sources for this page

Verify at the official NPI Registry.