Susan Anita Martin, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28143926A Issued in IN

Practice address

Pine Knoll Assisted Living
607 Wilson Creek Rd.
Lawrenceburg, IN 47025

Phone

(812) 537-4422

NPI assigned

Mar 6, 2014

Last updated

Mar 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.martin.1@19053.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Recover Together, LLC

  dba Groups Recover Together

  • Adult Mental Health Clinic/Center
  • Lawrenceburg, IN
  • NPI 1891102497
  Medicare reassignment Care Compare group
• Community Mental Health Center Inc

  dba INcompass Healthcare

  • Psychiatric Hospital
  • Lawrenceburg, IN
  • NPI 1588732747
  Medicare reassignment NPD
• Susan a. Martin NP LLC

  • Primary Care Nurse Practitioner
  • Lawrenceburg, IN
  • NPI 1134887102
  Authorized official Same address or phone
• Goodman Lostutter LLC

  dba Pine Knoll Assisted Living Center

  • Exclusive Provider Organization
  • Lawrenceburg, IN
  • NPI 1942348198
  NPD (past)
• Health Services Corporation of Southeastern Indiana

  • Prosthetic/Orthotic Supplier
  • Lawrenceburg, IN
  • NPI 1033417829
  NPD (past)

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1588080121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 STATE ROAD 48",
            "city": "AURORA",
            "state": "IN",
            "postal_code": "470018987",
            "telephone_number": "812-290-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PINE KNOLL ASSISTED LIVING",
            "address_2": "607 WILSON CREEK RD.",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "47025",
            "telephone_number": "812-537-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SUSAN",
        "middle_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004884A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28143926A",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71004884A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Marksberry, LMFT
• Ann-Marie Jeanne Marsh, M.S.W.
• Chayse Brockman Martin, D.O.
• Lisa Martin
• Malissa Martin, EDD, ATC
• Meghan Martini, DDS
• Gloria Martz, D.O.
• Carleen Renee May, MPT
• Kimberly Mayo, OD
• Mark R McAndrew, M.D.

• Family Nurse Practitioner in Lawrenceburg, IN
• Providers in Lawrenceburg, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.