Individual provider Active NPI

Janelle A Martinez, APRN

  • Family Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1477189207
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144097 Issued in TX
Practice address
1814 Roseland Blvd
Tyler, TX 75701-4234
Phone
(903) 295-6678
Fax
(903) 295-6681
NPI assigned
Mar 12, 2020
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 AP144097 TX Primary

Addresses

Primary practice location

1814 Roseland Blvd
Tyler, TX 75701-4234

Mailing address

1814 Roseland Blvd
Tyler, TX 75701-4234

Other names 1

  • Janelle Bowser Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL janelle.martinez@tsjh.org

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
I20200414001902 TX Practitioner - Nurse Practitioner 7416387584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Spine and Joint Hospital LLCGroup PAC ID 0345272381, 10 clinicians

Practice addresses (Care Compare)

1814 Roseland Blvd
Tyler, TX 75701-4234
Phone (903) 525-3333

2211 S Loop
Suite 256
Palestine, TX 75801-4701
Phone (903) 729-0970

925 W Loop
Suite 281
Longview, TX 75604-2918
Phone (903) 295-6678

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144097TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Spine and Joint Hospital, LLC CurrentSince Nov 11, 2021 Accepting new patients

Locations

925 W Loop 281
Longview, TX 75604
Phone (430) 240-6029

1814 Roseland Blvd
Tyler, TX 75701
Phone (903) 525-3300

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1477189207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 ROSELAND BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 ROSELAND BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014234",
            "telephone_number": "903-295-6678",
            "fax_number": "903-295-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JANELLE",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "janelle.martinez@tsjh.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1814 Roseland Blvd",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757014234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "BOWSER",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.