Madison Martin

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

CNP241659 Issued in ME

Practice address

47 Elm St
North Berwick, ME 03906-6792

Phone

(207) 317-1102

NPI assigned

Dec 11, 2024

Sex

Female

Sole proprietor

No

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.

• Impact Health Me, LLC

  • Nurse Practitioner
  • Yarmouth, ME
  • NPI 1518432574

  ME

  Medicare reassignment Care Compare group NPD
• Impact Health Advanced Care PC

  • Adult Medicine Physician
  • Orange, CT
  • NPI 1528931011

  ME, NH

  Medicare reassignment Care Compare group NPD
• Impact Health P.C.

  • Nurse Practitioner
  • Orange, CT
  • NPI 1730694316

  Adult Health, NH

  Medicare reassignment Care Compare group NPD
• Impact Health Wound Care PLLC

  • Family Medicine Physician
  • Augusta, ME
  • NPI 1093502742

  ME, NH

  Medicare reassignment NPD
• Renew Wound Care of Maine PLLC

  • Internal Medicine Physician
  • North Berwick, ME
  • NPI 1922889104

  ME

  Medicare reassignment NPD

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Impact Health PC 79 clinicians

Impact Health Advanced Care PC 18 clinicians

Impact Health Me, LLC 18 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in ME, NH2 enrollments

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2026.

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1316754658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 COUNTRY CLUB 2 RD",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040735128",
            "telephone_number": "207-317-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ELM ST",
            "city": "NORTH BERWICK",
            "state": "ME",
            "postal_code": "039066792",
            "telephone_number": "207-317-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ME",
            "license": "CNP241659",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ME",
            "license": "CNP241659",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "CNP241659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura E Houdlette, OTR/L
• Heather Lauran Koelker, LCPC-C
• Christine Laplante, PTA
• Alexis Leahy, CADC
• Meagan Loeffler, M.S. ED CCC-SLP
• Janet Ann Meegan, ARNP
• Laurienne Missud Martin, LADC
• Msad #60
• Msad 60
• Msad 60

• All providers in North Berwick, ME
• Gerontology Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.