Individual provider Active NPI

Susan Marie Martz, FNP-C

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1447969498
Registry record updated Jun 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1099259 Issued in TX
Practice address
4903 82ND St Ste 10
Lubbock, TX 79424-3123
Phone
(806) 794-6886
Fax
(806) 783-0709
NPI assigned
Nov 18, 2022
Last updated
Jun 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1099259 TX Primary

Addresses

Primary practice location

4903 82ND St Ste 10
Lubbock, TX 79424-3123

Mailing address

4903 82ND St Ste 10
Lubbock, TX 79424-3123
Phone (806) 794-6886

Other practice location 1

2405 Broadway
Lubbock, TX 79401-2918
Phone (806) 799-3644

Other practice location 2

5609 114th St
Lubbock, TX 79424-6985
Phone (806) 589-1778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221210000264 TX Practitioner - Nurse Practitioner 2365811577 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William a Shaver, MD PA CurrentSince Nov 16, 2022 Accepting new patients
Aspire Primary Care Partners PLLC CurrentSince Jul 1, 2026 Accepting new patients
Theerapol Prasertsuntarasai MD PA CurrentSince Sep 11, 2024 Accepting new patients
Rocky Mountain MFT PastSince Aug 25, 2024 Accepting new patients

Locations

12402 Slide Rd
Ste 306
Lubbock, TX 79424
Phone (806) 589-1778

2405 Broadway
Lubbock, TX 79401
Phone (806) 799-3644

4903 82nd St
Ste 10
Lubbock, TX 79424
Phone (806) 239-4437

5609 114th St
Lubbock, TX 79424
Phone (806) 589-1778

Organizations & group practices 4

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": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1447969498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 82ND ST STE 10",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243123",
            "telephone_number": "806-794-6886",
            "fax_number": "806-783-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 82ND ST STE 10",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243123",
            "telephone_number": "806-794-6886",
            "fax_number": "806-783-0709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2405 Broadway",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794012918",
            "country_code": "US",
            "telephone_number": "806-799-3644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5609 114th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794246985",
            "country_code": "US",
            "telephone_number": "806-589-1778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTZ",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1099259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.