Individual provider Active NPI

Nicole Martinez, NP

  • Nurse Practitioner
  • Boston, MA
National Provider Identifier
1821423237
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN255772 Issued in MA
Practice address
450 Brookline Ave
Boston, MA 02215-5450
Phone
(617) 632-3000
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN255772 MA Primary

Addresses

Primary practice location

450 Brookline Ave
Boston, MA 02215-5450

Mailing address

210 Market St
Lynn, MA 01901-1536
Phone (781) 691-7288

Other practice location 1

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

Other practice location 2

210 Market St
Lynn, MA 01901-1536
Phone (781) 691-7288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150706000086 MA Practitioner - Nurse Practitioner 0941512917 Reassigns benefits to 10 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Post Acute Care Physicians of the Northeast PA CurrentSince Sep 9, 2024 Accepting new patients
Charter LTC LLC CurrentSince May 1, 2024 Accepting new patients
The General Hospital Corporation CurrentSince Sep 30, 2024 Accepting new patients
Charter Health PC CurrentSince May 1, 2024 Accepting new patients
All Care Hospice Inc CurrentSince Aug 21, 2017 Accepting new patients
All Care Hospice Inc. CurrentSince Aug 21, 2017 Accepting new patients
Advantage Surgical and Wound Care Massachusetts PC CurrentSince Aug 8, 2023 Accepting new patients
Hallmark Health Medical Associates Inc CurrentSince Jun 1, 2015 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Sep 30, 2024 Accepting new patients
Integrated Wound Care Massachusetts PLLC CurrentSince Jun 15, 2021 Accepting new patients

Locations

222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

199 Concord Rd
Billerica, MA 01821
Phone (781) 369-9876

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

55 Fruit St
Ste 835
Boston, MA 02114
Phone (617) 724-2209

945 Concord St
Framingham, MA 01701
Phone (203) 598-6045

210 Market St
Lynn, MA 01901
Phone (781) 598-2454

113 Low St
Newburyport, MA 01950
Phone (978) 462-7373

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

204 Proctor Ave
Revere, MA 02151
Phone (781) 286-3100

55 Highland Ave
Ste 304
Salem, MA 01970
Phone (978) 354-4611

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

Organizations & group practices 11

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": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1821423237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MARKET ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011536",
            "telephone_number": "781-691-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155450",
            "telephone_number": "617-632-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-726-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Market St",
            "address_purpose": "LOCATION",
            "city": "Lynn",
            "state": "MA",
            "postal_code": "019011536",
            "country_code": "US",
            "telephone_number": "781-691-7288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN255772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.