Active NPI
Antoinette Kathleen Martz, ARNP
- Nurse Practitioner
- Dayton, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A166068
- Practice address
- PO Box 634
Dayton, IA 50530-0634 - Phone
- (515) 570-8569
- NPI assigned
- Nov 9, 2021
- Last updated
- Dec 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A166068 | IA | Primary |
Addresses
Primary practice location
PO Box 634
Dayton, IA 50530-0634
Mailing address
2350 Hospital Dr
Webster City, IA 50595-6600
Phone (515) 570-8569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A166068 | Other | IA | NURSE PRACTITIONER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Hamilton County Public Hospital
Practice addresses (Care Compare)
2350 Hospital Dr
Webster City, IA 50595-6600
Phone (515) 832-7800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A166068 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton County Public Hospital | Nurse Practitioner | Current | Accepting new patients |
| Hamilton County Public Hospital | Current | Accepting new patients | |
| Hamilton County Public Hospital | Nurse Practitioner | Current | Accepting new patients |
| Hamilton County Public Hospital | Nurse Practitioner | Current | Accepting new patients |
| McFarland Clinic, PC | Past | Accepting new patients |
Interoperability endpoints
- https://emrproxy.mcfarlandclinic.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 5
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.
-
dba VanDiest Medical Center
- Critical Access Hospital
- Webster City, IA
- NPI 1295702397
-
dba Van Diest Medical Center Stratford Clinic
- Rural Health Clinic/Center
- Stratford, IA
- NPI 1497957351
Nurse Practitioner
-
dba Van Diest Family Health Clinic
- Rural Health Clinic/Center
- Webster City, IA
- NPI 1174968697
Nurse Practitioner
-
dba Van Diest Family Health Clinic of Fort Dodge
- Rural Health Clinic/Center
- Fort Dodge, IA
- NPI 1508481243
Nurse Practitioner
-
- Clinical Medical Laboratory
- Ames, IA
- NPI 1174602908
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba VanDiest Medical Center
- Critical Access Hospital
- Webster City, IA
- NPI 1295702397
-
dba Van Diest Medical Center Stratford Clinic
- Rural Health Clinic/Center
- Stratford, IA
- NPI 1497957351
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734220800000",
"number": "1437815016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 HOSPITAL DR",
"city": "WEBSTER CITY",
"state": "IA",
"postal_code": "505956600",
"telephone_number": "515-570-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 634",
"city": "DAYTON",
"state": "IA",
"postal_code": "505300634",
"telephone_number": "515-570-8569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTZ",
"first_name": "ANTOINETTE",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2024-12-15",
"certification_date": "2024-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A166068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER NUMBER",
"identifier": "A166068",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, IA
- Andy Goings, COTA
- Grandview Health Care Center, Inc. (Grandview Health Care Center)
- Hamilton County Public Hospital (Van Diest Medical Center Dayton Clinic)
- Hamilton County Public Hospital (Van Diest Medical Center Dayton Clinic)
- Shannon C Marso, PTA
- Opco Dayton, Ia, LLC (Grandview Health Care Center)
- Katelin J Peterson, RBT
- Premier Estates 502, LLC (Grandview Health Care Center)
- Pamela R. Wentworth, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2024; 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.