Individual provider Active NPI

Samantha Donovan Martinez

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1790635746
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1224093 Issued in TX
Practice address
840 E Redd Rd
El Paso, TX 79912-7264
Phone
(915) 577-9003
NPI assigned
Jan 30, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1224093 TX Primary

Addresses

Primary practice location

840 E Redd Rd
El Paso, TX 79912-7264

Mailing address

949 Pellegrino Ave
El Paso, TX 79932-2063
Phone (915) 346-3734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260220002357 TX Practitioner - Nurse Practitioner 8820579550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hillside Primary Care PLLCGroup PAC ID 0648530386, 49 clinicians

Practice addresses (Care Compare)

1009 NW Loop
410 Psych Office
San Antonio, TX 78213-2221
Phone (210) 742-6551

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1224093TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Primary Care PLLC CurrentSince Feb 10, 2026 Accepting new patients

Locations

12881 Toepperwein Rd
#I35
Live Oak, TX 78233

12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425

1009 NW Loop 410
Ofc
San Antonio, TX 78213
Phone (210) 742-6551

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1790635746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 PELLEGRINO AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322063",
            "telephone_number": "915-346-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E REDD RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127264",
            "telephone_number": "915-577-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "SAMANTHA",
        "middle_name": "DONOVAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1224093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.