Individual provider Active NPI

Julie Martin, NP

  • Nurse Practitioner
  • Westbrook, CT
National Provider Identifier
1316299704
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
005132 Issued in CT
Practice address
250 Flat Rock PL
Westbrook, CT 06498-3585
Phone
(860) 358-3640
Fax
(860) 358-8656
NPI assigned
Oct 9, 2012
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 005132 CT Primary

Addresses

Primary practice location

250 Flat Rock PL
Westbrook, CT 06498-3585

Mailing address

28 Crescent St
Middletown, CT 06457-3654

Other practice location 1

1 Towne Park Plz
Norwich, CT 06360-2247
Phone (860) 887-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20121226000001 CT Practitioner - Nurse Practitioner 3971756974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

250 Flat Rock PL
FL 1
Westbrook, CT 06498-3586
Phone (860) 358-2850

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5132CTMDSocial Worker
005132CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care, Inc CurrentSince Aug 1, 2024 Accepting new patients
MHS Primary Care Inc Nurse Practitioner CurrentSince Aug 1, 2024 Accepting new patients
Internal Medicine Group LLC CurrentSince Sep 7, 2012 Accepting new patients

Locations

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

250 Flat Rock Pl
Westbrook, CT 06498
Phone (860) 358-3640

250 Flat Rock Pl
Fl 1
Westbrook, CT 06498
Phone (860) 358-3640

250 Flat Rock Pl
Fl 2
Westbrook, CT 06498
Phone (860) 358-3640

Interoperability endpoints

  • Direct secure messaging: jmartin@img.gwaydirect.com
  • Direct secure messaging: jmartin90396@middlesexhealthprd.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1316299704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FLAT ROCK PL",
            "city": "WESTBROOK",
            "state": "CT",
            "postal_code": "064983585",
            "telephone_number": "860-358-3640",
            "fax_number": "860-358-8656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Towne Park Plz",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602247",
            "country_code": "US",
            "telephone_number": "860-887-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JULIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "005132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, CT

Sources for this page

Verify at the official NPI Registry.