Active NPI
Jacob Martinez
- Certified Registered Nurse Anesthetist
- Erie, PA
National Provider Identifier
1235903113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN733552
- Practice address
- 201 State St
Erie, PA 16550-0001 - Phone
- (814) 877-6000
- NPI assigned
- Nov 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN733552 | PA | Primary |
| Registered Nurse | 163W00000X | TLRN073765 | PA |
Addresses
Primary practice location
201 State St
Erie, PA 16550-0001
Mailing address
201 State St
Erie, PA 16550-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TLRN073765 | Other | PA | PA RN LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | martinez026@gannon.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 State St
Erie, PA 16550-0002
Phone (814) 877-6000
Hospital & facility affiliations
- Upmc Hamot
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TLRN073765 | PA | MD | Registered Nurse |
| RN733552 | PA | MD | Certified Registered Nurse Anesthetist |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
PA
-
- Anesthesiology Physician
- Melville, NY
- NPI 1659752921
PA
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1235903113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165500001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165500001",
"telephone_number": "814-877-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JACOB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-10",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN733552",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "TLRN073765",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA RN LICENSE",
"identifier": "TLRN073765",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "martinez026@gannon.edu",
"affiliation": "N",
"endpointDescription": "hospital e mail address",
"address_1": "201 State St",
"city": "Erie",
"state": "PA",
"country_code": "US",
"postal_code": "165500001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.