Individual provider Active NPI

Tyra Dejean Martinear, CNP

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1447621941
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
18355 Issued in OH
Practice address
21 E State St Ste 200
Columbus, OH 43215-0109
Phone
(574) 546-1900
Fax
(574) 546-1999
NPI assigned
Oct 10, 2015
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18355 OH Primary
Family Nurse Practitioner 363LF0000X 18355 OH

Addresses

Primary practice location

21 E State St Ste 200
Columbus, OH 43215-0109

Mailing address

1002 Olympia Dr
Mason, OH 45040-1011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160609001239 OH Practitioner - Nurse Practitioner 0042500670 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mend Health LLCGroup PAC ID 6507205838, 12 clinicians
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

1050 Forrer Blvd
Suite 250
Kettering, OH 45420-3640
Phone (937) 894-1220

6900 Beechmont Ave
Cincinnati, OH 45230-2910
Phone (731) 394-1145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323828OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Py Medical Services of Oh Inc CurrentSince Aug 1, 2024 Accepting new patients
Vpa PC CurrentSince Feb 1, 2023 Accepting new patients
Mend Health LLC Family CurrentSince Aug 11, 2025 Accepting new patients
Carebridge Palliative Services Inc. CurrentSince Sep 12, 2016 Accepting new patients
Ultra Health LLC Nurse Practitioner CurrentSince Dec 24, 2025 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Feb 1, 2023 Accepting new patients
Hospice of Southwest Ohio, Inc. PastSince Sep 12, 2016 Accepting new patients

Locations

4435 Aicholtz Rd
Ste 400
Cincinnati, OH 45245
Phone (513) 326-3007

6969 Glenmeadow Ln
Cincinnati, OH 45237
Phone (513) 351-7007

7625 Camargo Rd
Ste 200
Cincinnati, OH 45243
Phone (513) 528-8150

1050 Forrer Blvd
#250
Kettering, OH 45420
Phone (937) 894-1220

1050 Forrer Blvd
Ste 250
Kettering, OH 45420
Phone (800) 986-4801

6831 Chapel Rd
Madison, OH 44057
Phone (440) 428-5103

6900 Beechmont Ave
Mount Washington, OH 45230
Phone (513) 231-4561

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: tyra.martinear@779530956636164.direct.elationemr.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1444435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1447621941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 OLYMPIA DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E STATE ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432150109",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEAR",
        "first_name": "TYRA",
        "middle_name": "DEJEAN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "18355",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "18355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.