Martelle Blaine, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2445 Army Navy Dr
Arlington, VA 22206-2905

Phone

(703) 892-6500

NPI assigned

Aug 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anderson Clinic LLCGroup PAC ID 2264331263, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
• Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
• Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
• Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mblaine@andersonclinic.emadirect.md

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.

• Anderson Clinic LLC

  • Orthopaedic Surgery Physician
  • Arlington, VA
  • NPI 1568488799

  DC, Physician Assistant

  Medicare reassignment Care Compare group NPD
• Anderson Clinic LLC

  • Orthopaedic Surgery Physician
  • Oxon Hill, MD
  • NPI 1205666435
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Inova Health Care Services

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1255684460
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Fairfax, VA
  • NPI 1760513980
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1922139120
  Care Compare affiliation
• Virginia Hospital Center Arlington Health System

  • General Acute Care Hospital
  • Arlington, VA
  • NPI 1790785996
  Care Compare affiliation

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1306494190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 ARMY NAVY DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062905",
            "telephone_number": "703-892-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 ARMY NAVY DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062905",
            "telephone_number": "703-892-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAINE",
        "first_name": "MARTELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Donze Black, RD
• Sydney Lauren Blackman, SLP-CFY
• Carly B Blackstone, PSY.D.
• Guido Blacutt
• Thomas Blahovec, P.T.
• Maxwell Blake
• Jacqueline Angelica Blakely
• Norma Blann, RPH
• Chandreea K Blanton
• Natalie Block-Levin, LCSW

• Physician Assistant in Arlington, VA
• Providers in Arlington, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.

Verify at the official NPI Registry.