Individual provider Active NPI

Kelly P Martin, MSN

  • Family Nurse Practitioner
  • Clairton, PA
National Provider Identifier
1346390960
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP008366 Issued in PA
Practice address
1200 Brooks LN Ste 260
Clairton, PA 15025-3750
Phone
(412) 469-8959
Fax
(412) 469-7004
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP008366 PA Primary

Addresses

Primary practice location

1200 Brooks LN Ste 260
Clairton, PA 15025-3750

Mailing address

3607 Pary Ave
Pittsburgh, PA 15227-2951
Phone (412) 882-8289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20041129000224 PA Practitioner - Nurse Practitioner 0042275398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

200 Lothrop St
Pittsburgh, PA 15213-2536

300 Halket St
Pittsburgh, PA 15213-3108

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2010 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2010 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
South Hills Gastroenterology Associates LLC Past Accepting new patients

Locations

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

3601 5th Ave
#700
Pittsburgh, PA 15213
Phone (412) 647-0996

200 Lothrop St
#G100
Pittsburgh, PA 15213
Phone (412) 692-4882

Interoperability endpoints

  • Direct secure messaging: kelly.p.martin2@upmcdirect.com

Organizations & group practices 4

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.

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1346390960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 PARY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152272951",
            "telephone_number": "412-882-8289",
            "fax_number": "412-469-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LN STE 260",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253750",
            "telephone_number": "412-469-8959",
            "fax_number": "412-469-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELLY",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clairton, PA

Sources for this page

Verify at the official NPI Registry.