Individual provider Active NPI

Blair Kerstan McMartin, NP

  • Family Nurse Practitioner
  • Allen, TX
National Provider Identifier
1841019684
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1168777 Issued in TX
Practice address
1111 Raintree Cir Ste 280
Allen, TX 75013-0135
Phone
(972) 984-1050
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 1168777 TX Primary

Addresses

Primary practice location

1111 Raintree Cir Ste 280
Allen, TX 75013-0135

Mailing address

2570 Lake Ridge Rd Apt 3303
Lewisville, TX 75056-4963
Phone (432) 559-9884

Other names 1

  • Blair Kerstan Lewis Former name

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
I20241031000442 TX Practitioner - Nurse Practitioner 8729511639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The ENT and Allergy Centers of Texas, PLLCGroup PAC ID 4385709054, 56 clinicians

Practice addresses (Care Compare)

1111 Raintree Cir
Suite 280
Allen, TX 75013-4901
Phone (972) 984-1050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1168777TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The ENT & Allergy Centers of Texas, PLLC CurrentSince Nov 4, 2024 Accepting new patients
Richard D Thrasher III MD PA Past Accepting new patients

Locations

1111 Raintree Cir
Ste 280
Allen, TX 75013
Phone (972) 984-1050

5220 W University Dr
Ste 150
McKinney, TX 75071
Phone (972) 632-3270

Organizations & group practices 2

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": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1841019684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 LAKE RIDGE RD APT 3303",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564963",
            "telephone_number": "432-559-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIR STE 280",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750130135",
            "telephone_number": "972-984-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMARTIN",
        "first_name": "BLAIR",
        "middle_name": "KERSTAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1168777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIR",
            "last_name": "LEWIS",
            "middle_name": "KERSTAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.