Individual provider Active NPI

Lauren N Martin, FNP-BC

  • Family Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1740955137
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011431A Issued in IN
Practice address
100 St Marys Epworth Xing Ste B100
Newburgh, IN 47630-9497
Phone
(812) 469-8300
NPI assigned
Aug 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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 71011431A IN Primary

Addresses

Primary practice location

100 St Marys Epworth Xing Ste B100
Newburgh, IN 47630-9497

Mailing address

100 St Marys Epworth Xing Ste B100
Newburgh, IN 47630-9497

Other practice location 1

1909 W Franklin St
Evansville, IN 47712-5110
Phone (812) 456-9736

Other practice location 2

100 S Rosenberger Ave Ste A100
Evansville, IN 47712-6504
Phone (812) 433-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauren.martin.2@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210824001958 IN Practitioner - Nurse Practitioner 1850796285 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
St Mary'S Medical Group, LLC Family CurrentSince Apr 1, 2024 Accepting new patients
Carol Ann Goodman MD LLC Family CurrentSince Aug 11, 2021 Accepting new patients
West Side Family Medicine LLC PastSince Aug 1, 2021 Accepting new patients

Locations

100 S Rosenberger Ave
Ste A100
Evansville, IN 47712
Phone (812) 433-2000

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

1909 W Franklin St
Evansville, IN 47712
Phone (812) 456-9736

100 St Marys Epworth Xing
Ste B100
Newburgh, IN 47630
Phone (812) 469-8300

Interoperability endpoints

  • Direct secure messaging: lauren.martin.2@7598.direct.athenahealth.com
  • Direct secure messaging: lauren.martin.1@7598.direct.athenahealth.com

Organizations & group practices 4

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLC 230 clinicians

Practice addresses (Care Compare)

100 St Marys Epworth Xing
Suite B100
Newburgh, IN 47630-9161
Phone (812) 853-9651

Hospital & facility affiliations

  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1740955137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ST MARYS EPWORTH XING STE B100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ST MARYS EPWORTH XING STE B100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309497",
            "telephone_number": "812-469-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 W Franklin St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477125110",
            "country_code": "US",
            "telephone_number": "812-456-9736",
            "fax_number": "812-456-0140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Rosenberger Ave Ste A100",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477126504",
            "country_code": "US",
            "telephone_number": "812-433-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LAUREN",
        "middle_name": "N",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011431A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.martin.2@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "100 St Marys Epworth Xing Ste B100",
            "city": "Newburgh",
            "state": "IN",
            "country_code": "US",
            "postal_code": "476309497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.