Individual provider Active NPI

Cherie R Martinez, PA-C

  • Physician Assistant
  • Fremont, NE
National Provider Identifier
1366490153
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
766 Issued in NE
Practice address
710 Reynolds Road
Fremont, NE 68025-2300
Phone
(402) 727-1091
Fax
(402) 727-7628
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 766 NE Primary

Addresses

Primary practice location

710 Reynolds Road
Fremont, NE 68025-2300

Mailing address

710 Reynolds Road
Fremont, NE 68025-2300
Phone (402) 727-1091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20050510001086 NE Practitioner - Physician Assistant 4880678432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570

1240 E 23Rd St
MPC Urgent Care Fremont
Fremont, NE 68025-2411
Phone (402) 815-7100

Hospital & facility affiliations

  • Methodist Fremont Health Hospital, Fremont, NE, CCN 280077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
766NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc Physician Assistant CurrentSince Feb 28, 2021 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Surgi-Consultants of San Antonio Past Accepting new patients
Bariatrics Surgeons of San Antonio, PA Past Accepting new patients
Fremont Psychiatric Services Past Accepting new patients
Fremont Health Clinic Physician Assistant Past Accepting new patients
Martin F Sears MD Past Accepting new patients

Locations

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

2540 N Healthy Way
Fremont, NE 68025
Phone (402) 721-3133

415 E 23rd St
Ste A
Fremont, NE 68025
Phone (402) 721-8960

1240 E 23rd St
Fremont, NE 68025
Phone (402) 721-8668

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

Interoperability endpoints

  • Direct secure messaging: cherie.martinez@direct.nmhs.org

Organizations & group practices 7

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 2

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1366490153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 REYNOLDS ROAD",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252300",
            "telephone_number": "402-727-1091",
            "fax_number": "402-727-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 REYNOLDS ROAD",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252300",
            "telephone_number": "402-727-1091",
            "fax_number": "402-727-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CHERIE",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.