Individual provider Active NPI

Emelin Martinez, FNP

  • Family Nurse Practitioner
  • San Luis, CO
National Provider Identifier
1790775567
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
66928 Issued in CO
Practice address
North Highway 159
San Luis, CO 81152
Phone
(719) 672-3352
Fax
(719) 672-3638
NPI assigned
Oct 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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 66928 CO Primary

Addresses

Primary practice location

North Highway 159
San Luis, CO 81152

Mailing address

North Highway 159
San Luis, CO 81152
Phone (719) 672-3352

Other identifiers 2

IdentifierTypeStateIssuer
500027320OtherTRAVELERS MEDICARE
840706945031OtherCOROCKY MOUNTAIN HEALTH PLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20050422001245 CO Practitioner - Nurse Practitioner 7810935491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley-Wide Health Systems, Inc.Group PAC ID 5991609067, 42 clinicians

Practice addresses (Care Compare)

1012 Belmont Ave
La Junta, CO 81050-2101
Phone (719) 383-5900

1710 1St St
Alamosa, CO 81101-2302
Phone (719) 589-3658

245 Vine Ave
Las Animas, CO 81054-1039
Phone (719) 456-2653

702 4TH St
Alamosa, CO 81101-2582
Phone (719) 589-3658

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66928COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley-Wide Health Systems, Inc CurrentSince Apr 4, 2010 Accepting new patients
Valley-Wide Health Systems, Inc. CurrentSince Apr 4, 2010 Accepting new patients
Valley-Wide Health Systems, Inc. Past Accepting new patients

Locations

1131 Main St
Alamosa, CO 81101
Phone (719) 589-2562

702 4th St
Alamosa, CO 81101
Phone (719) 589-3658

128 Market St
Alamosa, CO 81101
Phone (719) 587-1001

106 Blanca Ave
Ste 300
Alamosa, CO 81101
Phone (719) 589-3658

1012 Belmont Ave
La Junta, CO 81050
Phone (719) 383-5500

Interoperability endpoints

  • Direct secure messaging: emelin.martinez.p1@direct.vwhs.nextgenshare.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 1

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1790775567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTH HIGHWAY 159",
            "city": "SAN LUIS",
            "state": "CO",
            "postal_code": "81152",
            "telephone_number": "719-672-3352",
            "fax_number": "719-672-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH HIGHWAY 159",
            "city": "SAN LUIS",
            "state": "CO",
            "postal_code": "81152",
            "telephone_number": "719-672-3352",
            "fax_number": "719-672-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EMELIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "66928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "500027320",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HEALTH PLA",
            "identifier": "840706945031",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis, CO

Sources for this page

Verify at the official NPI Registry.