Active NPI
Jeffrey Don Martin, GFNP
- Family Nurse Practitioner
- Waco, TX
National Provider Identifier
1669612412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 595799
- Practice address
- 7003 Woodway Dr
Suite 311
Waco, TX 76712-6170 - Phone
- (254) 537-6000
- Fax
- (254) 537-6001
- NPI assigned
- Mar 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 595799 | TX | Primary |
Addresses
Primary practice location
7003 Woodway Dr
Suite 311
Waco, TX 76712-6170
Mailing address
PO Box 18962
Belfast, ME 04915-4084
Phone (800) 566-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090420000198 | TX | Practitioner - Nurse Practitioner | 1254488869 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 595799 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physicians-II, P.a. | Current | Accepting new patients | |
| Healthnow Urgent Care Inc | Current | Accepting new patients | |
| Frisco Emergency Medicine Associates, PA | Past | Accepting new patients |
Locations
207 I 35 Hwy NW
Hillsboro, TX 76645
Phone (254) 332-1709
900 Austin Ave
Ste 1001
Waco, TX 76701
Phone (254) 224-8808
200 N San Jacinto St
Whitney, TX 76692
Phone (254) 332-0123
Interoperability endpoints
- jeff.martin.1@9635.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Emergency Care Clinic/Center
- Frisco, TX
- NPI 1467612176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1669612412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18962",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154084",
"telephone_number": "800-566-5050",
"fax_number": "254-537-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7003 WOODWAY DR",
"address_2": "SUITE 311",
"city": "WACO",
"state": "TX",
"postal_code": "767126170",
"telephone_number": "254-537-6000",
"fax_number": "254-537-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JEFFREY",
"middle_name": "DON",
"credential": "GFNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-05",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "595799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.