Patrice Jackson Martin, MSN, RN, ANP-BC, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN2271823 Issued in MA

Practice address

83 Hospital Rd
Baldwinville, MA 01436-1215

Phone

(178) 168-2586

Fax

(617) 544-0267

NPI assigned

Mar 3, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Nurse Practitioner

Education

Vanderbilt University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrity Medical Post Acute Care PLLCGroup PAC ID 9234504903, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pmartin28782@tuftsmedicine.direct-ci.com

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.

• Integrity Medical Post Acute Care PLLC

  • Internal Medicine Physician
  • Concord, MA
  • NPI 1346941762
  Medicare reassignment Care Compare group
• Ideal Healthcare Solutions LLC

  • Family Nurse Practitioner
  • North Easton, MA
  • NPI 1033358536

  Adult Health

  Medicare reassignment NPD
• Massachusetts Acute Care Specialists PC

  • Internal Medicine Physician
  • Melrose, MA
  • NPI 1306134812
  Medicare reassignment NPD
• Heywood Medical Group Inc.

  • General Practice Physician
  • Gardner, MA
  • NPI 1699762286
  NPD (past)

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

{
    "created_epoch": "1362268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1386985273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HOSPITAL RD",
            "city": "BALDWINVILLE",
            "state": "MA",
            "postal_code": "014361215",
            "telephone_number": "178-168-2586",
            "fax_number": "617-544-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HOSPITAL RD",
            "city": "BALDWINVILLE",
            "state": "MA",
            "postal_code": "014361215",
            "telephone_number": "178-168-2586",
            "fax_number": "617-544-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PATRICE",
        "middle_name": "JACKSON",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, ANP-BC, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-03",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2271823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110095829A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Lambert, MSW, LICSW
• Dawn Elizabeth Laprade, RN, MSN, FNP-BC
• Kristen Ingrid Larsen, RN
• Kia Leger
• Lesley Martin Cote, PA-C
• Todd G Mexico, D.C.
• Mountain View Family Practice, PC
• Narragansett Family Practice
• Narragansett Regional School District
• Sabrina A Pettigrew, PMHNP-BC

• Adult Health Nurse Practitioner in Baldwinville, MA
• Providers in Baldwinville, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.