Active NPI
Christine Martinez, MSN, NP-C
- Primary Care Nurse Practitioner
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- SP021931
- Practice address
- 2 W Baltimore Ave Ste 101
Media, PA 19063-3740 - Phone
- (484) 227-0900
- Fax
- (484) 324-7660
- NPI assigned
- May 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | SP021931 | PA | Primary |
Addresses
Primary practice location
2 W Baltimore Ave Ste 101
Media, PA 19063-3740
Mailing address
1553 Chester Pike Ste 201
Crum Lynne, PA 19022-1022
Phone (610) 499-7181
Other practice location 1
1553 Chester Pike Ste 201
Crum Lynne, PA 19022-1022
Phone (610) 499-7181
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2 W Baltimore Ave
Media, PA 19063-3740
Phone (484) 227-0900
Hospital & facility affiliations
- Main Line Health Home Care & Hospice - Home Health
- Riddle Memorial Hospital
- Main Line Hospital Lankenau
- Bryn Mawr Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP021931 | PA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Current | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
2 W Baltimore Ave
Ste 101
Media, PA 19063
Phone (484) 227-0900
2 W Baltimore Ave
Media, PA 19063
Phone (484) 227-0900
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1346861978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1553 CHESTER PIKE STE 201",
"city": "CRUM LYNNE",
"state": "PA",
"postal_code": "190221022",
"telephone_number": "610-499-7181",
"fax_number": "610-876-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 W BALTIMORE AVE STE 101",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633740",
"telephone_number": "484-227-0900",
"fax_number": "484-324-7660"
}
],
"practiceLocations": [
{
"address_1": "1553 Chester Pike Ste 201",
"address_purpose": "LOCATION",
"city": "Crum Lynne",
"state": "PA",
"postal_code": "190221022",
"country_code": "US",
"telephone_number": "610-499-7181",
"fax_number": "610-876-0859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "CHRISTINE",
"credential": "MSN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-05",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP021931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.