Individual provider Active NPI

Patricia Anne Martino, NP

  • Adult Health Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1689699175
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN01034 Issued in RI
Practice address
400 Bald Hill Rd Ste 520
Warwick, RI 02886-1692
Phone
(401) 793-8520
Fax
(401) 793-8527
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X CAPRN01034 RI
Adult Health Nurse Practitioner 363LA2200X RN25772 RI
Adult Health Nurse Practitioner 363LA2200X MM0924868 RI
Adult Health Nurse Practitioner 363LA2200X APRN01034 RI Primary

Addresses

Primary practice location

400 Bald Hill Rd Ste 520
Warwick, RI 02886-1692

Mailing address

400 Bald Hill Rd Ste 520
Warwick, RI 02886-1692
Phone (401) 793-8520

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patricia.martino.1@10.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20050214000353 RI Practitioner - Nurse Practitioner 9830141381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdri LLCGroup PAC ID 6406291632, 17 clinicians

Practice addresses (Care Compare)

1407 S County TRL
Suite 431
East Greenwich, RI 02818-1679
Phone 4013980288105

Hospital & facility affiliations

  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CAPRN01034RIMDAdult Health Nurse Practitioner
RN25772RIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mdri LLC CurrentSince Jun 1, 2025 Accepting new patients
Atwood Medical Associates LTD PastSince Sep 1, 2007 Accepting new patients

Locations

1407 S County Trl
Ste 431
East Greenwich, RI 02818
Phone (401) 398-0288

2 Wake Robin Rd
Ste 205
Lincoln, RI 02865
Phone (401) 333-9044

Interoperability endpoints

  • Direct secure messaging: patricia.martino.1@29391.direct.athenahealth.com
  • Direct secure messaging: pmartino@scmg.gwaydirect.com

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.

Hospital & facility affiliations 4

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1689699175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD STE 520",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861692",
            "telephone_number": "401-793-8520",
            "fax_number": "401-793-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD STE 520",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861692",
            "telephone_number": "401-793-8520",
            "fax_number": "401-793-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "CAPRN01034",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "RN25772",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "MM0924868",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN01034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.martino.1@10.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena",
            "address_1": "400 Bald Hill Rd Ste 520",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028861692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.