Individual provider Active NPI

Karrie Martin, APRN

  • Family Nurse Practitioner
  • Grand Ronde, OR
National Provider Identifier
1649624404
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10016905 Issued in OR
Practice address
9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone
(503) 879-2060
Fax
(503) 879-2071
NPI assigned
Apr 19, 2016
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024187032 VA
Family Nurse Practitioner 363LF0000X 10016905 OR Primary
Family Nurse Practitioner 363LF0000X 25338 SC
Case Management Registered Nurse 163WC0400X 4704303950 MI

Addresses

Primary practice location

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712

Mailing address

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone (503) 879-2060

Other practice location 1

2700 May River Xing Ste 100
Bluffton, SC 29910-9732
Phone (843) 985-2520

Other practice location 2

508 Upland St
Kenai, AK 99611-8026
Phone (907) 335-7500

Other identifiers 3

IdentifierTypeStateIssuer
1760567MedicaidAK
260849OtherSCRN SC
F07210180OtherNP CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX, OR, AK4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20211117002462 SC Practitioner - Nurse Practitioner 3577952290 Reassigns benefits to 1 organization
I20230913000757 TX Practitioner - Nurse Practitioner 3577952290 Reassigns benefits to 1 organization
I20240125004180 OR Practitioner - Nurse Practitioner 3577952290 Reassigns benefits to 2 organizations
I20251112004038 AK Practitioner - Nurse Practitioner 3577952290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Kenaitze Indian TribeGroup PAC ID 4082506225, 29 clinicians

Practice addresses (Care Compare)

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

508 Upland St
Kenai, AK 99611-8026
Phone (907) 335-7500

9615 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone (503) 879-2007

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704303950MIMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Apr 29, 2024 Accepting new patients
Confederated Tribes of the Grand Ronde Community of Oregon Family CurrentSince Jan 18, 2024 Accepting new patients
Winslow Indian Health Care Center, Inc Current Accepting new patients
Confederated Tribes of the Grand Ronde Community of Oregon CurrentSince Jan 18, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2025 Accepting new patients
Kenaitze Indian Tribe CurrentSince Oct 31, 2025 Accepting new patients
Dilkon Medical Center Current Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Jul 31, 2023 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Apr 29, 2024 Accepting new patients
Kenaitze Indian Tribe CurrentSince Oct 31, 2025 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Jul 31, 2023 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2025 Accepting new patients
Kenaitze Indian Tribe Current Accepting new patients
Confederated Tribes of Grand Ronde Community of Oregon Dba GR Health & Past Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

508 Upland St
Kenai, AK 99611
Phone (907) 335-7300

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

500 Indiana Ave
Winslow, AZ 86047

9605 Grand Ronde Rd
Grand Ronde, OR 97347
Phone (503) 879-2002

9615 Grand Ronde Rd
Grand Ronde, OR 97347
Phone (503) 879-2002

2821 Daggett Ave
Ste 100
Klamath Falls, OR 97601
Phone (541) 274-4611

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2700 May River Xing
Ste 100
Bluffton, SC 29910
Phone (843) 985-2520

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Interoperability endpoints

  • Direct secure messaging: kmartin535790@direct.musc.edu

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1649624404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9605 GRAND RONDE RD",
            "city": "GRAND RONDE",
            "state": "OR",
            "postal_code": "973479712",
            "telephone_number": "503-879-2060",
            "fax_number": "503-879-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 GRAND RONDE RD",
            "city": "GRAND RONDE",
            "state": "OR",
            "postal_code": "973479712",
            "telephone_number": "503-879-2060",
            "fax_number": "503-879-2071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 May River Xing Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299109732",
            "country_code": "US",
            "telephone_number": "843-985-2520",
            "fax_number": "843-985-9917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "508 Upland St",
            "address_purpose": "LOCATION",
            "city": "Kenai",
            "state": "AK",
            "postal_code": "996118026",
            "country_code": "US",
            "telephone_number": "907-335-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KARRIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024187032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10016905",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25338",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704303950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760567",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN SC",
            "identifier": "260849",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP CERTIFICATION",
            "identifier": "F07210180",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ronde, OR

Sources for this page

Verify at the official NPI Registry.