Individual provider Active NPI

Maryann Martin, APRN

  • Family Nurse Practitioner
  • Galveston, TX
National Provider Identifier
1669911541
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133255 Issued in TX
Practice address
901 Harborside Drive
Galveston, TX 77550
Phone
(409) 772-1191
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X AP133255 TX
Family Nurse Practitioner 363LF0000X AP133255 TX Primary

Addresses

Primary practice location

901 Harborside Drive
Galveston, TX 77550

Mailing address

319 Magnolia Estates Dr
League City, TX 77573-4639
Phone (281) 910-8399

Other practice location 1

2240 Gulf Fwy S
League City, TX 77573-5143
Phone (823) 505-3140

Other names 1

  • Maryann Ann Martin Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marymart@utmb.edu

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
I20170412001663 TX Practitioner - Nurse Practitioner 0143506865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Em-I Medical Services PAGroup PAC ID 6507760543, 24 clinicians

Practice addresses (Care Compare)

301 University Blvd
Galveston, TX 77555-5302
Phone (954) 939-5000

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133255TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Community Health Centers Family CurrentSince Jun 26, 2025 Accepting new patients
Central Texas Community Health Centers CurrentSince Jun 26, 2025 Accepting new patients
Texas Em-I Medical Services PA CurrentSince Mar 1, 2017 Accepting new patients
Texas Em-I Medical Services PA CurrentSince Mar 1, 2017 Accepting new patients
Central Texas Community Health Centers Past Accepting new patients

Locations

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

5339 N Interstate 35
Ste 100
Austin, TX 78723
Phone (512) 865-4421

2901 Montopolis Dr
Austin, TX 78741
Phone (512) 389-1010

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1669911541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 MAGNOLIA ESTATES DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734639",
            "telephone_number": "281-910-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HARBORSIDE DRIVE",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77550",
            "telephone_number": "409-772-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2240 Gulf Fwy S",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775735143",
            "country_code": "US",
            "telephone_number": "823-505-3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARYANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "AP133255",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marymart@utmb.edu",
            "affiliation": "N",
            "address_1": "2240 Gulf Fwy S",
            "city": "League City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775735143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARYANN",
            "last_name": "MARTIN",
            "middle_name": "ANN",
            "credential": "FNP-C, ENP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.