Individual provider Active NPI

Krystle Nicole Martinez, APRN, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1275203838
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1054546 Issued in TX
Practice address
5710 Esplanade Drive
Corpus Christi, TX 78414-4165
Phone
(361) 991-8000
Fax
(877) 494-7986
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1054546 TX Primary

Addresses

Primary practice location

5710 Esplanade Drive
Corpus Christi, TX 78414-4165

Mailing address

PO Box 850
Alice, TX 78333-0850
Phone (361) 664-0303

Other practice location 1

2701 Morgan Avenue
Ste 400
Corpus Christi, TX 78405-1848
Phone (361) 452-0799

Other practice location 2

230 S Gulf Street
Alice, TX 78332-4310
Phone (361) 664-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211109003417 TX Practitioner - Nurse Practitioner 0446649669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carlos R Elizondo MD PLLCGroup PAC ID 0749576874, 10 clinicians

Practice addresses (Care Compare)

5710 Esplanade Dr
Corpus Christi, TX 78414-4165
Phone (361) 991-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1054546TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos R Elizondo MD PLLC CurrentSince Nov 1, 2024 Accepting new patients
Corpus Christi Family Medicine Center PA Past Accepting new patients
Texas Mobile Medical Group, PLLC Past Accepting new patients

Locations

230 S Gulf St
Alice, TX 78332
Phone (361) 661-0388

1044 E Front St
Alice, TX 78332
Phone (361) 664-0202

2701 Morgan Ave
Ste 400
Corpus Christi, TX 78405
Phone (361) 452-0799

5710 Esplanade Dr
Corpus Christi, TX 78414
Phone (361) 664-0303

1921 E King Ave
Kingsville, TX 78363
Phone (361) 355-9700

302 E Airline Rd
Victoria, TX 77901
Phone (361) 339-2093

Interoperability endpoints

  • Direct secure messaging: krystle.martinez@elizondomedicalgroup.eclinicaldirectplus.com
  • Direct secure messaging: krystle.martinez@415054778073092.direct.elationemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1275203838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783330850",
            "telephone_number": "361-664-0303",
            "fax_number": "866-845-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 ESPLANADE DRIVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144165",
            "telephone_number": "361-991-8000",
            "fax_number": "877-494-7986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Morgan Avenue",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784051848",
            "country_code": "US",
            "telephone_number": "361-452-0799",
            "fax_number": "877-587-6802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 S Gulf Street",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "783324310",
            "country_code": "US",
            "telephone_number": "361-664-0303",
            "fax_number": "866-845-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KRYSTLE",
        "middle_name": "NICOLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1054546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.