Jennifer L Martinez, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1500634 Issued in KS

Practice address

203 Watson St
Pratt, KS 67124-3066

Phone

(620) 672-7422

NPI assigned

Apr 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wichita Family Medicine Specialists, LLCGroup PAC ID 4082620489, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• Kansas Spine & Specialty Hospital, LLC Hospital, Wichita, KS, CCN 170196

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wichita Family Medicine Specialists, LLC

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1376504084
  Medicare reassignment Care Compare group
• Hutchinson Clinic, PA, Inc.

  dba Hutchinson Clinic Diabetes Prevention Program

  • Health Educator
  • Hutchinson, KS
  • NPI 1821639774
  NPD (past)
• Pratt Family Practice LLC

  dba Pratt Family Practice

  • Rural Health Clinic/Center
  • Pratt, KS
  • NPI 1346379625
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation
• Kansas Spine & Specialty Hospital, L.L.C.

  dba Kansas Spine & Specialty Hospital Pain Center

  • Pain Medicine (Anesthesiology) Physician
  • Wichita, KS
  • NPI 1033628243

  Hospital

  Care Compare affiliation
• Kansas Spine & Specialty Hospital, L.L.C.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1417950650
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376500603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 HOLLY ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671241314",
            "telephone_number": "620-672-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WATSON ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243066",
            "telephone_number": "620-672-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "1500634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lotus Anesthesia Services, LLC
• Main Street Dental, LLC
• Martin Anesthesia PA
• Bethany Marie Martin, RN, IBCLC
• Brett Andrew Martin, CRNA
• John D Mathes, DDS
• Debora Sue May, MS, CCC-SLP
• Maydew Thibault Optometry LLC
• Troy O Maydew, OD
• Kenneth McNamar, PHARMD

• Medical Physician Assistant in Pratt, KS
• Providers in Pratt, KS by specialty
• Medical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.