Individual provider Active NPI

Hannah Mae Martin

  • Family Nurse Practitioner
  • Denison, TX
National Provider Identifier
1508456179
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01210172 Issued in TX
Practice address
900 N Armstrong Ave
Denison, TX 75020-2230
Phone
(903) 465-2440
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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 F01210172 TX Primary

Addresses

Primary practice location

900 N Armstrong Ave
Denison, TX 75020-2230

Mailing address

900 N Armstrong Ave
Denison, TX 75020-2230
Phone (903) 465-2440

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
I20210128000251 TX Practitioner - Nurse Practitioner 3779997085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies Central Texas PLLCGroup PAC ID 3476922576, 33 clinicians

Practice addresses (Care Compare)

2710 W Hackberry LN
Anna, TX 75409-2573
Phone (214) 831-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F01210172TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Level One Emergency Physicians LLC CurrentSince Oct 12, 2024 Accepting new patients
Center for Family Medicine,PA PastSince Jan 24, 2021 Accepting new patients

Locations

2710 W Hackberry Ln
Anna, TX 75409
Phone (214) 831-2600

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

4226 N US Highway 75
Sherman, TX 75090
Phone (903) 487-0857

Organizations & group practices 3

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.

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1508456179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N ARMSTRONG AVE",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202230",
            "telephone_number": "903-465-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N ARMSTRONG AVE",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202230",
            "telephone_number": "903-465-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "HANNAH",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F01210172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.