Individual provider Active NPI

Anthony Ronny Martin, APRN, CNP

  • Gerontology Nurse Practitioner
  • Robbinsdale, MN
National Provider Identifier
1518588367
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11245 Issued in MN
Practice address
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone
(763) 520-5200
NPI assigned
May 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 71468 NM
Gerontology Nurse Practitioner 363LG0600X 11245 MN Primary
Acute Care Nurse Practitioner 363LA2100X 11006843 FL
Gerontology Nurse Practitioner 363LG0600X SP028879 PA

Addresses

Primary practice location

3300 Oakdale Ave N
Robbinsdale, MN 55422

Mailing address

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-5200

Other practice location 1

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100
Phone (505) 272-0000

Other practice location 2

2350 Freedom Way Ste 202
York, PA 17402-8202
Phone (717) 851-2465

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UNMH@direct.health.unm.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, CT, MI, PA, NJ, MD, DC, CA, IL, GA, MN12 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 12

Enrollment IDStateProvider typePAC IDDetails
I20201209001417 FL Practitioner - Nurse Practitioner 2264844604 Reassigns benefits to 4 organizations
I20230331000174 NY Practitioner - Nurse Practitioner 2264844604 Reassigns benefits to 1 organization
I20230517002274 CT Practitioner - Nurse Practitioner 2264844604
I20231228003492 MI Practitioner - Nurse Practitioner 2264844604 Reassigns benefits to 1 organization
I20240307000149 PA Practitioner - Nurse Practitioner 2264844604 Reassigns benefits to 1 organization
I20240307000233 NJ Practitioner - Nurse Practitioner 2264844604
I20240307000950 MD Practitioner - Nurse Practitioner 2264844604
I20240307001496 DC Practitioner - Nurse Practitioner 2264844604 Reassigns benefits to 1 organization
I20240307003713 CA Practitioner - Nurse Practitioner 2264844604 Reassigns benefits to 1 organization
I20240308003268 IL Practitioner - Nurse Practitioner 2264844604 Reassigns benefits to 1 organization
I20241008003329 GA Practitioner - Nurse Practitioner 2264844604 Reassigns benefits to 2 organizations
I20260616000687 MN Practitioner - Nurse Practitioner 2264844604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Michigan Physician Services PCGroup PAC ID 0143730671, 66 clinicians
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

1505 Eastland Dr
320 Crtca Plmnry SLP Med
Bloomington, IL 61701-7912
Phone (309) 661-2368

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

2801 NW 79TH Ave
JWMC
Doral, FL 33122-1174
Phone (786) 466-1000

400 Celebration PL
Celebration, FL 34747-4970

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11245MNMDOrthopedic Physical Therapist
11006843FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group, New York, PC CurrentSince Mar 1, 2023 Accepting new patients
University of Miami Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Piedmont Specialty Hospital Billing LLC CurrentSince Dec 16, 2025 Accepting new patients
The Emory Clinic Inc CurrentSince Aug 7, 2024 Accepting new patients
Nuview Telehealth, LLC CurrentSince Aug 11, 2023 Accepting new patients
University of Miami Current Accepting new patients
Ca Post Acute Specialists PC CurrentSince Feb 17, 2025 Accepting new patients
North Michigan Physician Services PC Nurse Practitioner CurrentSince Feb 4, 2026 Accepting new patients
University of Miami CurrentSince Sep 1, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 13, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 4, 2023 Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Dec 4, 2023 Accepting new patients
Openloop Healthcare Partners PC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients

Locations (25 of 34)

2140 Carlmont Dr
Belmont, CA 94002
Phone (650) 591-9601

442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311

1850 E 8th St
Davis, CA 95616
Phone (530) 756-1800

1501 Skyline Dr
Monterey, CA 93940
Phone (831) 200-9651

2530 Solace Pl
Mountain View, CA 94040
Phone (650) 502-1800

11510 Imperial Hwy
Norwalk, CA 90650
Phone (562) 868-6791

201 Hartnell Ave
Redding, CA 96002
Phone (530) 212-0073

2550 Treasure Dr
Santa Barbara, CA 93105
Phone (805) 319-4376

300 Fountaingrove Pkwy
Santa Rosa, CA 95403
Phone (707) 359-5005

325 Kempton St
Spring Valley, CA 91977
Phone (619) 434-0577

9289 Branstetter Pl
Stockton, CA 95209
Phone (209) 477-5252

175 Capital Blvd
Ste 415
Rocky Hill, CT 06067

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: anthony.martin@hca4.eclinicaldirectplus.com
  • Direct secure messaging: amartin754500@hisp.ehr.sutterhealth.org
  • Direct secure messaging: amartin20368@jupitermedicalcenter.direct-ci.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1518588367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 OAKDALE AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222926",
            "telephone_number": "763-520-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 OAKDALE AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-520-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Broadmoor Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871442100",
            "country_code": "US",
            "telephone_number": "505-272-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Freedom Way Ste 202",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174028202",
            "country_code": "US",
            "telephone_number": "717-851-2465",
            "fax_number": "717-741-3043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANTHONY",
        "middle_name": "RONNY",
        "credential": "APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NM",
            "license": "71468",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "11245",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11006843",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP028879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

Verify at the official NPI Registry.