Individual provider Active NPI

Marni Lynne Martinez, C.N.S.

  • Adult Health Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1669756508
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
761824 Issued in TX
Practice address
7951 Shoal Creek Blvd Ste 200
Austin, TX 78757-7581
Phone
(512) 454-4588
Fax
(512) 681-6632
NPI assigned
Oct 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 761824 TX Primary

Addresses

Primary practice location

7951 Shoal Creek Blvd Ste 200
Austin, TX 78757-7581

Mailing address

PO Box 10597
Austin, TX 78766-1597
Phone (512) 485-5889

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address giasouthcentral@directaddress.net Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131022001891 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 4880829100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Gastroenterology PLLCGroup PAC ID 9739174954, 75 clinicians

Practice addresses (Care Compare)

7951 Shoal Creek Blvd
Suite 110
Austin, TX 78757-7534
Phone (512) 579-2676

7951 Shoal Creek Blvd
Suite 200
Austin, TX 78757-7581
Phone (512) 454-4588

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
57.89
Promoting interoperability
96
Improvement activities
40
Cost
78.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Gastroenterology, PLLC CurrentSince Jul 9, 2013 Accepting new patients
Austin Gastroenterology PA CurrentSince Jul 9, 2013 Accepting new patients

Locations

1111 W 34th St
Ste 200
Austin, TX 78705
Phone (512) 324-3405

7951 Shoal Creek Blvd
Ste 200
Austin, TX 78757
Phone (512) 454-4588

1361 Hero Way
Ste 100
Leander, TX 78641
Phone (512) 371-1519

Interoperability endpoints

  • FHIR API: https://f1c3b871-8724-4a21-b291-f8f62dcb574b.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1669756508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10597",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787661597",
            "telephone_number": "512-485-5889",
            "fax_number": "512-681-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7951 SHOAL CREEK BLVD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577581",
            "telephone_number": "512-454-4588",
            "fax_number": "512-681-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARNI",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "C.N.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "761824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "giasouthcentral@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4100 S Shepherd Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770985316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.