Elaine Ann Martin-Stomel, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4702 Issued in AZ

Practice address

804 Ainsworth Dr
Suite 102
Prescott, AZ 86301-1624

Phone

(928) 776-0601

Fax

(928) 776-0620

NPI assigned

Oct 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1780937797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 TOM MIX TRL",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016711",
            "telephone_number": "928-445-1574",
            "fax_number": "928-445-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 AINSWORTH DR",
            "address_2": "SUITE 102",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011624",
            "telephone_number": "928-776-0601",
            "fax_number": "928-776-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-STOMEL",
        "first_name": "ELAINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA",
            "identifier": "LICENSE # AP4702",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John R Markham, O D
• Scott Patrick Markham, D.O.
• Katie R Marolia, MS, OTR/L
• Shelley Marsh, CTRS
• Kelly L Marshall, FNP
• Jeffrey A Martin
• Jennifer L Martin, PMHNP - BC
• Melinda M Martin, M.D.
• Nicole Martin, PA-C
• Troy John Martin, LMT

• Family Nurse Practitioner in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.