Active NPI
Amanda Elizabeth Martinez, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 238586
- Practice address
- 839 W Congress St
Tucson, AZ 85745-2819 - Phone
- (520) 670-3909
- Fax
- (520) 309-2560
- NPI assigned
- Mar 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN166572 | AZ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 238586 | AZ | Primary |
Addresses
Primary practice location
839 W Congress St
Tucson, AZ 85745-2819
Mailing address
839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- El Rio Santa Cruz Neighborhood Health Center, Inc.
Practice addresses (Care Compare)
101 W Irvington Rd
Tucson, AZ 85714-3050
Phone (520) 670-3909
5486 N Via Papavero
Tucson, AZ 85750-6056
Phone (520) 314-3412
839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238586 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Rio Santa Cruz Neighborhood Health Center, Inc | Current | Accepting new patients | |
| Maryland Medical Specialists Inc | Single Specialty | Current | Accepting new patients |
| El Rio Santa Cruz Neighborhood Health Center, Inc | Single Specialty | Current | Accepting new patients |
| Linda Wroten P.C. | Single Specialty | Current | Accepting new patients |
| Arizona Total Care LLC | Past | Accepting new patients | |
| U2Rworthit1 LLC | Single Specialty | Past | Accepting new patients |
Locations
839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707
7490 S Camino de Oeste
Tucson, AZ 85746
Phone (520) 879-6039
101 W Irvington Rd
Tucson, AZ 85714
Phone (520) 573-0096
6950 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 309-3250
6890 E Sunrise Dr
Ste 120176
Tucson, AZ 85750
Phone (520) 314-3412
145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509
133 Rollins Ave
Ste 3
Rockville, MD 20852
Phone (202) 935-1033
12650 N Beach St
Ste 11425
Fort Worth, TX 76244
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1487602736
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1598457525
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1255228433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1245798909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 W CONGRESS ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452819",
"telephone_number": "520-670-3909",
"fax_number": "520-309-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 W CONGRESS ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452819",
"telephone_number": "520-670-3909",
"fax_number": "520-309-2560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "AMANDA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-12",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "AZ",
"license": "RN166572",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "238586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.