Active NPI
Emelin Martinez, FNP
- Family Nurse Practitioner
- San Luis, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 66928
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500027320 | Other | TRAVELERS MEDICARE | |
| 840706945031 | Other | CO | ROCKY 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 66928 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley-Wide Health Systems, Inc | Current | Accepting new patients | |
| Valley-Wide Health Systems, Inc. | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Alamosa, CO
- NPI 1790998953
-
- Federally Qualified Health Center (FQHC)
- Alamosa, CO
- NPI 1205652047
-
- Federally Qualified Health Center (FQHC)
- Canon City, CO
- NPI 1215383500
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.