Active NPI
Julie Anne Martin, FNP
- Family Nurse Practitioner
- Broadalbin, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F339777
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| F339777 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gloversville Emergency Medicine Services PC | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| St. Mary'S Healthcare | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| St Marys Healthcare | Current | Accepting new patients | |
| Pic Indiana PC | Current | Accepting new patients | |
| Emergency Physician Services of New York, P.C. | Current | Accepting new patients | |
| Physicians Immediate Care North Chicago LLC | Current | 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 | Past | 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.
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
NY
-
- Emergency Medicine Physician
- Gloversville, NY
- NPI 1518205491
NY
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
MI
-
- Clinical Medical Laboratory
- Syracuse, NY
- NPI 1992380547
-
- Clinical Medical Laboratory
- Melrose Park, IL
- NPI 1275106726
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Amsterdam, NY
- NPI 1700636347
-
- Clinical Medical Laboratory
- Kalamazoo, MI
- NPI 1891469631
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 LLCWellnow Urgent Care, P.C.Pic Indiana PC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.