Individual provider Active NPI

Jelshon L. Martin, MSN, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1568377844
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11034782 Issued in FL
Practice address
4601 NW 77TH Ave
Miami, FL 33166-6449
Phone
(305) 283-4051
NPI assigned
Aug 19, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN9579864 FL
School Registered Nurse 163WS0200X APRN11034782 FL
Family Nurse Practitioner 363LF0000X APRN11034782 FL
Primary Care Nurse Practitioner 363LP2300X APRN11034782 FL Primary

Addresses

Primary practice location

4601 NW 77TH Ave
Miami, FL 33166-6449

Mailing address

1851 SW 24TH St
Miami, FL 33145-3833
Phone (305) 283-4051

Other practice location 1

14505 Commerce Way Ste 522
Miami Lakes, FL 33016-1573
Phone (786) 391-1167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1568377844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453833",
            "telephone_number": "305-283-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 NW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331666449",
            "telephone_number": "305-283-4051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14505 Commerce Way Ste 522",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330161573",
            "country_code": "US",
            "telephone_number": "786-391-1167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JELSHON",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN9579864",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "FL",
            "license": "APRN11034782",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034782",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11034782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.