Priscilla Martin, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

34613 Issued in TN

Practice address

586 S Jefferson Ave Ste P
Cookeville, TN 38501-4632

Phone

(931) 854-0050

NPI assigned

Sep 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cookeville Medical Center PCGroup PAC ID 0143125237, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Livingston, TN, CCN 447260
• Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18263/brand/1/csg/1/fhir/r4
• Direct secure messaging: priscilla.martin.1@18192.direct.athenahealth.com

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.

• Cookeville Medical Center PC

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1013055912

  TN

  Medicare reassignment Care Compare group NPD
• Hometown Family Care, LLC

  • Family Nurse Practitioner
  • Cookeville, TN
  • NPI 1790113553

  TN

  Medicare reassignment NPD
• Cumberland Kidney Specialist

  • Nephrology Physician
  • Cookeville, TN
  • NPI 1922248756
  NPD (past)
• Upper Cumberland Rural Health Clinic PLLC

  • Rural Health Clinic/Center
  • Baxter, TN
  • NPI 1285311829
  NPD (past)
• Upper Cumberland Rural Health Clinic PLLC

  • Rural Health Clinic/Center
  • Sparta, TN
  • NPI 1831994235
  NPD (past)

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

• Comprehensive Home Healthcare Services LLC

  • Home Health Agency
  • Livingston, TN
  • NPI 1972551752
  Care Compare affiliation
• Cookeville Regional Medical Center

  • General Acute Care Hospital
  • Cookeville, TN
  • NPI 1275531956

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1548046857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 S JEFFERSON AVE STE P",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014632",
            "telephone_number": "931-854-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 S JEFFERSON AVE STE P",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014632",
            "telephone_number": "931-854-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PRISCILLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "216648",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "34613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa Martin
• Erin Grace Martin
• Kelly A Martin, O.D.
• Kenneth R. Martin, D.M.D
• Melissa Martin, LPN
• Trey Martin
• Juan Jose Martinez Mueller, LPC MHSP
• Kaitlyn Brooke Mashburn, NP
• Mariah Paige Massengale, PHARMD
• Erin Masters, P.T.

• All providers in Cookeville, TN
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.