Individual provider Active NPI

Henry Martinez, NP

  • Family Nurse Practitioner
  • San Marcos, TX
National Provider Identifier
1801398235
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136638 Issued in TX
Practice address
1340 Wonder World Dr Ste 4301
San Marcos, TX 78666-7695
Phone
(512) 353-6400
NPI assigned
Mar 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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 AP136638 TX Primary

Addresses

Primary practice location

1340 Wonder World Dr Ste 4301
San Marcos, TX 78666-7695

Mailing address

1301 Wonder World Dr
Attn: Managed Care
San Marcos, TX 78666
Phone (512) 753-3669

Other identifiers 4

IdentifierTypeStateIssuer
386463901MedicaidTX
AP136638OtherTXADVANCED PRACTICE NURSING LICENSE
680592OtherMEDICARE
P02144918OtherRR MEDICARE

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
I20180718003595 TX Practitioner - Nurse Practitioner 0042572448 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Austin PLLCGroup PAC ID 7810087905, 59 clinicians

Practice addresses (Care Compare)

16040 Park Valley Dr
Suite 111
Round Rock, TX 78681-3596
Phone (512) 788-9688

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2021 Accepting new patients
Urology Austin, PLLC Family CurrentSince Jan 17, 2023 Accepting new patients
Urology Austin PLLC CurrentSince Jan 17, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2021 Accepting new patients
Joint Pain and Orthopedics, PLLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

8701 N Mopac Expy
Ste 200
Austin, TX 78759
Phone (512) 256-3000

4316 James Casey St
Ste F-201
Austin, TX 78745
Phone (210) 363-2641

8701 N Mopac Expy
Ste 100
Austin, TX 78759
Phone (737) 241-2184

8240 N Mopac Expy
Ste 100
Austin, TX 78759
Phone (512) 687-1950

1180 Seton Pkwy
Ste 125
Kyle, TX 78640

16040 Park Valley Dr
Ste 111
Round Rock, TX 78681
Phone (512) 248-2200

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

1340 Wonder World Dr
Ste 4301
San Marcos, TX 78666
Phone (512) 353-6400

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: henrymartinez@uroaustin.medalliesdirect.net

Organizations & group practices 5

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": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1801398235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WONDER WORLD DR",
            "address_2": "ATTN: MANAGED CARE",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "78666",
            "telephone_number": "512-753-3669",
            "fax_number": "512-753-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR STE 4301",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667695",
            "telephone_number": "512-353-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "HENRY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386463901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSING LICENSE",
            "identifier": "AP136638",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "680592",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P02144918",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.