Active NPI
Alexandra Martin, MSN, CRNP
- Family Nurse Practitioner
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 091190-23
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-0001 - Phone
- (603) 650-5000
- NPI assigned
- May 26, 2021
- Last updated
- Jun 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 091190-23 | NH | Primary |
| Neurology Physician | 2084N0400X | SP023139 | PA |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-0001
Mailing address
250 W Lancaster Ave Ste 220
Paoli, PA 19301-1751
Other practice location 1
250 W Lancaster Ave Ste 250
Paoli, PA 19301-1774
Phone (484) 413-2572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 E Lancaster Ave
Suite 135
Wynnewood, PA 19096-3453
Phone (610) 896-4380
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP023139 | PA | MD | Neurology Physician |
| 091190-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Main Line Healthcare | Neurology | Current | Accepting new patients |
| Neurology Consultants | Neurology | Past | Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
100 E Lancaster Ave
Ste 135
Wynnewood, PA 19096
Phone (484) 476-1190
100 E Lancaster Ave
Ste 256
Wynnewood, PA 19096
Phone (484) 572-6300
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
dba The Doorway at Cheshire Medical Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Keene, NH
- NPI 1174176861
-
dba MHMH Regional Services
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
dba Hampstead Hospital
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- Neurology Physician
- Paoli, PA
- NPI 1669535001
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bryn Mawr Hospital
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1609441096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W LANCASTER AVE STE 220",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037560001",
"telephone_number": "603-650-5000"
}
],
"practiceLocations": [
{
"address_1": "250 W Lancaster Ave Ste 250",
"address_purpose": "LOCATION",
"city": "Paoli",
"state": "PA",
"postal_code": "193011774",
"country_code": "US",
"telephone_number": "484-413-2572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "ALEXANDRA",
"name_prefix": "Ms.",
"credential": "MSN, CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "091190-23",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "SP023139",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.