Individual provider Active NPI

Courtney Martin, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ames, IA
National Provider Identifier
1285459115
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G181903 Issued in IA
Practice address
133 E Oneil Dr
Ames, IA 50010-5573
Phone
(515) 451-1905
NPI assigned
Nov 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G181903 IA Primary

Addresses

Primary practice location

133 E Oneil Dr
Ames, IA 50010-5573

Mailing address

133 E Oneil Dr
Ames, IA 50010-5573
Phone (515) 451-1905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20250123003405 IA Practitioner - Nurse Practitioner 3072042803 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G181903IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Greeley Medical Center Current Accepting new patients
Mary Greeley Medical Center CurrentSince Nov 26, 2024 Accepting new patients
Mary Greeley Medical Center Current Accepting new patients
Mary Greeley Medical Center CurrentSince Nov 26, 2024 Accepting new patients

Locations

124 S Hazel Ave
Ames, IA 50010
Phone (515) 239-2011

1111 Duff Ave
Ste 1431
Ames, IA 50010
Phone (515) 239-2011

1111 Duff Ave
Ames, IA 50010
Phone (515) 239-2011

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Iowa, RJ & L Carver College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Greeley Medical Center 30 clinicians

Practice addresses (Care Compare)

1111 Duff Ave
Ames, IA 50010-5745
Phone (515) 239-2102

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1285459115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E ONEIL DR",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105573",
            "telephone_number": "515-451-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E ONEIL DR",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105573",
            "telephone_number": "515-451-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "COURTNEY",
        "name_prefix": "Ms.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G181903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.