Individual provider Active NPI

Martha Nicole Menefee, AG-CNS

  • Gerontology Clinical Nurse Specialist
  • Round Rock, TX
National Provider Identifier
1336524461
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
AP128665 Issued in TX
Practice address
2000 S Mays St
Round Rock, TX 78664-7531
Phone
(512) 244-4272
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X AP128665 TX
Adult Health Clinical Nurse Specialist 364SA2200X AP128665 TX
Chronic Care Clinical Nurse Specialist 364SC2300X AP128665 TX
Gerontology Clinical Nurse Specialist 364SG0600X AP128665 TX Primary

Addresses

Primary practice location

2000 S Mays St
Round Rock, TX 78664-7531

Mailing address

2000 S Mays St Ste 238
Round Rock, TX 78664-7580
Phone (512) 244-4272

Other practice location 1

12912 Hill Country Blvd
BLDG F Ste 238
Austin, TX 78738-6328
Phone (512) 732-2929

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
I20150930000211 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 6204144918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mark Malone MD PAGroup PAC ID 2567369424, 102 clinicians

Practice addresses (Care Compare)

1106 College St
Suite C
Bastrop, TX 78602-3948
Phone (512) 244-4272

1901 Medi Park Dr
Suite 2
Amarillo, TX 79106-2105
Phone (806) 350-7918

2000 S Mays St
Round Rock, TX 78664-7580
Phone (512) 244-4272

6000 S Mopac
Suite 100
Austin, TX 78749
Phone (512) 244-4272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
AP128665TXMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Malone MD PA CurrentSince Jul 31, 2017 Accepting new patients
Mark Malone, MD PA CurrentSince Jul 31, 2017 Accepting new patients

Locations

6000 S Mopac Expy
Ste 100
Austin, TX 78749

1106 College St
Ste C
Bastrop, TX 78602
Phone (512) 244-2895

3316 Williams Dr
Ste 150
Georgetown, TX 78628
Phone (817) 644-3400

3400 E Central Texas Expy
Ste 101
Killeen, TX 76543

2000 S Mays St
Ste 300
Round Rock, TX 78664
Phone (512) 388-2663

2000 S Mays St
Ste 238
Round Rock, TX 78664

2000 S Mays St
Round Rock, TX 78664

Interoperability endpoints

  • Direct secure messaging: martha.menefee.1@24201.direct.athenahealth.com

Organizations & group practices 2

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1336524461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST STE 238",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647580",
            "telephone_number": "512-244-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647531",
            "telephone_number": "512-244-4272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12912 Hill Country Blvd",
            "address_2": "BLDG F STE 238",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787386328",
            "country_code": "US",
            "telephone_number": "512-732-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENEFEE",
        "first_name": "MARTHA",
        "middle_name": "NICOLE",
        "credential": "AG-CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "AP128665",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "AP128665",
            "primary": false
        },
        {
            "code": "364SC2300X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Chronic Care",
            "state": "TX",
            "license": "AP128665",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "AP128665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.