Angela Faye Martin, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024170251 Issued in VA

Practice address

200 Health Center Dr
Union, WV 24983-8442

Phone

(304) 772-3064

NPI assigned

Aug 9, 2012

Last updated

Jun 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, WV2 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 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Monroe County Health Center Board of Trustees

  dba Monroe Health Center

  • Federally Qualified Health Center (FQHC)
  • Union, WV
  • NPI 1992734487
  Medicare reassignment NPD
• Johnson Health Center

  • Federally Qualified Health Center (FQHC)
  • Lynchburg, VA
  • NPI 1316926538
  Medicare reassignment NPD
• Johnson Health Center

  dba Rustburg Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Rustburg, VA
  • NPI 1881102655
  Medicare reassignment NPD
• Kuumba Community Health & Wellness Center, Inc.

  dba New Horizons Healthcare

  • Federally Qualified Health Center (FQHC)
  • Roanoke, VA
  • NPI 1205815420
  Medicare reassignment NPD
• Monroe County Health Center Board of Trustees

  • Federally Qualified Health Center (FQHC)
  • Union, WV
  • NPI 1174066385
  NPD
• Johnson Health Center

  dba Amherst County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Madison Heights, VA
  • NPI 1972858660
  NPD
• Kuumba Community Health & Wellness Center, Inc.

  dba New Horizons Healthcare, Valley View

  • Federally Qualified Health Center (FQHC)
  • Roanoke, VA
  • NPI 1821760265
  NPD
• Johnson Health Center

  dba Lynchburg Women's and Pediatric Health Services

  • Federally Qualified Health Center (FQHC)
  • Lynchburg, VA
  • NPI 1821212481
  NPD (past)
• Monroe County Health Center Board of Trustees

  • Federally Qualified Health Center (FQHC)
  • New Castle, VA
  • NPI 1851585046
  NPD (past)

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1689921587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ELON RD",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245722536",
            "telephone_number": "434-455-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH CENTER DR",
            "city": "UNION",
            "state": "WV",
            "postal_code": "249838442",
            "telephone_number": "304-772-3064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 School St Mt View",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "WV",
            "postal_code": "24983",
            "country_code": "US",
            "telephone_number": "304-772-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANGELA",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024170251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ruth Johnson
• Robin Lynn Johnson, FNP-BC
• Katherine L Kilcollin, DDS PLLC
• Katherine Leach Kilcollin, DDS
• Mark C Kilcollin, DDS
• Lucinda Jane Martin, RN
• Charles Matthews
• Melinda Ann McConnell, MPT
• Callie McMunigal
• Suzanne F Meadows, R.PH.

• Pediatric Nurse Practitioner in Union, WV
• Providers in Union, WV by specialty
• Pediatric Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.