Individual provider Active NPI

Sadie Sheree Martin, APRN

  • Family Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1770338113
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05240745 Issued in NE
Practice address
220 W Leota St Ste 2
North Platte, NE 69101-6293
Phone
(308) 534-2900
NPI assigned
Apr 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 88057 NE
Family Nurse Practitioner 363LF0000X F05240745 NE Primary

Addresses

Primary practice location

220 W Leota St Ste 2
North Platte, NE 69101-6293

Mailing address

PO Box 932
Ulysses, KS 67880-0932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS2 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

Enrollment IDStateProvider typePAC IDDetails
I20240725001964 NE Practitioner - Nurse Practitioner 4486190501 Reassigns benefits to 1 organization
I20260416002582 KS Practitioner - Nurse Practitioner 4486190501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1021 Fleming St
Garden City, KS 67846-6252
Phone (620) 287-2010

1513 W Wyatt Erp Blvd
Dodge City, KS 67801-3352
Phone (620) 682-8304

2031 W 6TH Ave
Emporia, KS 66801-6464
Phone (620) 800-1010

231 S Andover Rd
Andover, KS 67002-7919
Phone (316) 733-9355

445 W 15TH St
Liberal, KS 67901-2464
Phone (620) 417-9012

601 W Leota St
North Platte, NE 69101-6525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88057NEMDRegistered Nurse
F05240745NEMDFamily Nurse Practitioner
115416NEMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
North Platte Nebraska Hospital Corporation CurrentSince Jun 17, 2024 Accepting new patients

Locations

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

220 W Leota St
Ste 2
North Platte, NE 69101
Phone (308) 534-2900

Interoperability endpoints

  • Direct secure messaging: smartin480678@direct.nebraskamed.com

Organizations & group practices 3

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 2

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": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1770338113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678800932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W LEOTA ST STE 2",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016293",
            "telephone_number": "308-534-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SADIE",
        "middle_name": "SHEREE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "88057",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "F05240745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.