Individual provider Active NPI

Dawn Marie Martin, NP

  • Family Nurse Practitioner
  • Saint Johns, MI
National Provider Identifier
1831780741
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704232853 Issued in MI
Practice address
1005 S US Highway 27 Ste 100
Saint Johns, MI 48879-2423
Phone
(989) 224-3000
Fax
(989) 668-0423
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 4704232853 MI Primary

Addresses

Primary practice location

1005 S US Highway 27 Ste 100
Saint Johns, MI 48879-2423

Mailing address

1005 S US Highway 27 Ste 100
Saint Johns, MI 48879-2423
Phone (989) 224-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210701000274 MI Practitioner - Nurse Practitioner 5294136909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Outpatient Urgent Care HealthcenterGroup PAC ID 8729395132, 11 clinicians
Clinton County Medical Center PCGroup PAC ID 8224923818, 27 clinicians

Practice addresses (Care Compare)

1005 S US Hwy 27
Suite 200
Saint Johns, MI 48879-2423
Phone (989) 224-6897

10673 E Carson City Rd
Carson City, MI 48811-9560
Phone (989) 584-3976

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704232853MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton County Medical Center PC CurrentSince Mar 30, 2021 Accepting new patients
Clinton County Medical Center PC CurrentSince Mar 30, 2021 Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

10673 E Carson City Rd
Carson City, MI 48811
Phone (989) 584-3153

4185 E Grand River Ave
Howell, MI 48843
Phone (517) 546-9200

1005 S US Highway 27
Ste 200
Saint Johns, MI 48879
Phone (989) 224-6897

1005 S US Highway 27
Ste 100
Saint Johns, MI 48879
Phone 9892243000616

Interoperability endpoints

  • Direct secure messaging: dawnmartin@ccmedc.allscriptsdirect.net
  • Direct secure messaging: dawnmartin@ouchuc.allscriptsdirect.net
  • Direct secure messaging: dawnmartin@compass.allscriptsdirect.net

Organizations & group practices 4

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1831780741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S US HIGHWAY 27 STE 100",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792423",
            "telephone_number": "989-224-3000",
            "fax_number": "989-668-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S US HIGHWAY 27 STE 100",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792423",
            "telephone_number": "989-224-3000",
            "fax_number": "989-668-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704232853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

Verify at the official NPI Registry.