Individual provider Active NPI

Victoria Lynn Martin, PA-C

  • Medical Physician Assistant
  • Fogelsville, PA
National Provider Identifier
1700250685
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057996 Issued in PA
Practice address
1431 Nursery St Ste 101B
Fogelsville, PA 18051-1612
Phone
(610) 336-8260
NPI assigned
Nov 16, 2015
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OA003709 PA
Medical Physician Assistant 363AM0700X MA057996 PA Primary

Addresses

Primary practice location

1431 Nursery St Ste 101B
Fogelsville, PA 18051-1612

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Other practice location 1

713 Bethlehem Pike
Montgomeryville, PA 18936-9602
Phone (267) 695-3944

Other practice location 2

116 S George St
Suite 301
York, PA 17401-1474
Phone (717) 845-8617

Other practice location 3

511 E 3rd St Ste 200
Bethlehem, PA 18015-2072
Phone (484) 526-4700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address PAExchange@patientfirstclinics.com Health Information Exchange (HIE)
Other URL sluhn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160219000908 PA Practitioner - Physician Assistant 6103121736 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

1431 Nursery St
Fogelsville, PA 18051-1612

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA057996PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group Inc. CurrentSince Oct 15, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 23, 2025 Accepting new patients
St Luke's Physician Group Inc CurrentSince Oct 15, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 23, 2025 Accepting new patients
Star Community Health, Inc Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

2775 Schoenersville Rd
Bethlehem, PA 18017

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1700250685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 NURSERY ST STE 101B",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180511612",
            "telephone_number": "610-336-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Bethlehem Pike",
            "address_purpose": "LOCATION",
            "city": "Montgomeryville",
            "state": "PA",
            "postal_code": "189369602",
            "country_code": "US",
            "telephone_number": "267-695-3944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 S George St",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174011474",
            "country_code": "US",
            "telephone_number": "717-845-8617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 E 3rd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180152072",
            "country_code": "US",
            "telephone_number": "484-526-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA003709",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "713 Bethlehem Pike",
            "city": "Montgomeryville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189369602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sluhn.org",
            "affiliation": "N",
            "address_1": "511 E 3rd St Ste 200",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180152072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fogelsville, PA

Sources for this page

Verify at the official NPI Registry.