Individual provider Active NPI

Julie Anne Martin, FNP

  • Family Nurse Practitioner
  • Broadalbin, NY
National Provider Identifier
1740658244
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F339777 Issued in NY
Practice address
103 County Highway 138
Broadalbin, NY 12025-0000
Phone
(518) 883-1023
Fax
(518) 883-1293
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F339777 NY Primary

Addresses

Primary practice location

103 County Highway 138
Broadalbin, NY 12025-0000

Mailing address

PO Box 1250
Gloversville, NY 12078-0010
Phone (518) 775-4205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI, IN, IL, PA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20151210000262 NY Practitioner - Nurse Practitioner 2062713357 Reassigns benefits to 5 organizations
I20230710003616 MI Practitioner - Nurse Practitioner 2062713357 Reassigns benefits to 2 organizations
I20231227002188 IN Practitioner - Nurse Practitioner 2062713357 Reassigns benefits to 1 organization
I20240828001986 IL Practitioner - Nurse Practitioner 2062713357 Reassigns benefits to 2 organizations
I20241104003324 PA Practitioner - Nurse Practitioner 2062713357 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F339777NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gloversville Emergency Medicine Services PC CurrentSince Sep 5, 2016 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Aug 22, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
St. Mary'S Healthcare CurrentSince Oct 1, 2015 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Aug 22, 2023 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2018 Accepting new patients
St Marys Healthcare CurrentSince Oct 1, 2015 Accepting new patients
Pic Indiana PC CurrentSince Jan 15, 2024 Accepting new patients
Emergency Physician Services of New York, P.C. CurrentSince Oct 1, 2015 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Jun 3, 2024 Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Nathan Littauer Hospital Association Past Accepting new patients
Mayer and Cope Family Practice LLP PastSince Jul 1, 1990 Accepting new patients

Locations

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1840 N Richmond Rd
McHenry, IL 60051
Phone (779) 704-3075

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

4988 State Highway 30
Amsterdam, NY 12010
Phone (518) 842-3100

380 Guy Park Ave
Ste 2
Amsterdam, NY 12010
Phone (518) 770-7581

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

4950 State Highway 30
Amsterdam, NY 12010
Phone (518) 770-7557

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

233 Saratoga Rd
Glenville, NY 12302
Phone (518) 930-7497

332 S Kingsboro Ave
Gloversville, NY 12078
Phone (518) 752-3221

84 E State St
Gloversville, NY 12078
Phone (518) 332-4336

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

7 Timmerman Ave
St Johnsville, NY 13452
Phone (518) 568-5037

1600 Erie Blvd E
Syracuse, NY 13210
Phone (315) 401-3204

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

26 Bolivar Dr
Bradford, PA 16701
Phone (814) 817-4690

Organizations & group practices 16

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.

View all 16

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians Immediate Care North Chicago LLC 256 clinicians
Wellnow Urgent Care, P.C. 395 clinicians
Pic Indiana PC 143 clinicians

Practice addresses (Care Compare)

1009 Fairway Dr
Freeport, IL 61032-6600
Phone (815) 986-4200

1600 Erie Blvd E
Syracuse, NY 13210-1212
Phone (315) 401-3204

1672 S Galena Ave
Dixon, IL 61021-9611
Phone (815) 564-2663

1711 W Hwy 50
O Fallon, IL 62269-1681
Phone (618) 206-5076

25 Columbia Ave E
Battle Creek, MI 49015-3703
Phone (269) 425-3017

2524 N Illinois St
Swansea, IL 62226-2353
Phone (618) 212-3144

26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690

3475 S Alpine Rd
Rockford, IL 61109-2604
Phone (815) 874-8000

4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000

505 W Cleveland Rd
Mishawaka, IN 46545-1003
Phone (574) 235-3135

515 Belt Line Rd
Collinsville, IL 62234-4411
Phone (618) 381-9041

5961 N Lincoln Ave
Chicago, IL 60659-3758
Phone (312) 702-3923

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1740658244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120780010",
            "telephone_number": "518-775-4205",
            "fax_number": "518-775-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COUNTY HIGHWAY 138",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "120250000",
            "telephone_number": "518-883-1023",
            "fax_number": "518-883-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadalbin, NY

Sources for this page

Verify at the official NPI Registry.