Individual provider Active NPI

Rebecca Lynn Martin, ARNP

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1447579172
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9405008 Issued in FL
Practice address
5717 21St Ave W
Bradenton, FL 34209
Phone
(941) 792-8383
Fax
(941) 792-8484
NPI assigned
May 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 532713-1 NY
Family Nurse Practitioner 363LF0000X F336359-1 NY
Family Nurse Practitioner 363LF0000X ARNP9405008 FL Primary

Addresses

Primary practice location

5717 21St Ave W
Bradenton, FL 34209

Mailing address

5717 21St Ave W
Bradenton, FL 34209
Phone (941) 792-8383

Other practice location 1

1215 S East Ave Ste 301
Sarasota, FL 34239-2342
Phone (841) 827-0701

Other identifiers 2

IdentifierTypeStateIssuer
F336359-1OtherNYLICENSE
NZ135OtherFLFL HF MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, NJ, CT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20101113000033 NY Practitioner - Nurse Practitioner 1153516349 Reassigns benefits to 1 organization
I20160923001367 FL Practitioner - Nurse Practitioner 1153516349 Reassigns benefits to 1 organization
I20250825001787 NJ Practitioner - Nurse Practitioner 1153516349 Reassigns benefits to 1 organization
I20260512003800 CT Practitioner - Nurse Practitioner 1153516349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bluesleep PCGroup PAC ID 9537699541, 9 clinicians
Jordan C. Stern M.D.P.CGroup PAC ID 0749321800, shared by 3 NPIs, 10 clinicians

Practice addresses (Care Compare)

111 Town Square PL
Suite 1203
Jersey City, NJ 07310-2784
Phone (212) 683-0174

20 Summer St
Suite 402
Stamford, CT 06901-2304
Phone (212) 683-0174

245 5TH Ave
FL 3
New York, NY 10016-8728
Phone (212) 683-0174

2820 NE 214TH St
Suite 801
Aventura, FL 33180-1269
Phone (212) 683-0174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
532713-1NYMDRegistered Nurse
ARNP9405008FLMDFamily Nurse Practitioner
F336359-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluesleep PC CurrentSince Jun 8, 2025 Accepting new patients
Jordan C. Stern M.D.P.C CurrentSince Dec 6, 2024 Accepting new patients
Jordan C. Stern M.D.P.C. CurrentSince Dec 6, 2024 Accepting new patients
Jordan C. Stern M.D.P.C Current Accepting new patients
James C Prezzano MD PLLC PastSince Jul 1, 2021 Accepting new patients

Locations

20 Summer St
Ste 402
Stamford, CT 06901

2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877

111 Town Square Pl
Ste 1203
Jersey City, NJ 07310
Phone (888) 344-4549

169 Madison Ave
Ste 15025
New York, NY 10016

65 Broadway
Ste 901
New York, NY 10006
Phone (212) 979-4200

245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1447579172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 21ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-792-8383",
            "fax_number": "419-792-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 21ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-792-8383",
            "fax_number": "941-792-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 S East Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392342",
            "country_code": "US",
            "telephone_number": "841-827-0701",
            "fax_number": "941-365-7057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "532713-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336359-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9405008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F336359-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HF MEDICARE",
            "identifier": "NZ135",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.