Individual provider Active NPI

Julie Ann Martin, NP

  • Family Nurse Practitioner
  • Saint Charles, MI
National Provider Identifier
1871847657
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704259864 Issued in MI
Practice address
1124 N Saginaw St
Saint Charles, MI 48655-1021
Phone
(989) 865-8270
Fax
(989) 865-8582
NPI assigned
Nov 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 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 4704259864 MI Primary

Addresses

Primary practice location

1124 N Saginaw St
Saint Charles, MI 48655-1021

Mailing address

1124 N Saginaw St
Saint Charles, MI 48655-1021
Phone (989) 865-8270

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmartin32656@direct.covenanthealthcare.com

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
I20121220000248 MI Practitioner - Nurse Practitioner 5698927630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians
Ronald L Gonzales MD PLLCGroup PAC ID 8325038805, 3 clinicians

Practice addresses (Care Compare)

1124 N Saginaw St
Saint Charles, MI 48655-1021
Phone (989) 865-8270

Hospital & facility affiliations

  • Covenant at Home Home health agency, Saginaw, MI, CCN 237431
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704259864MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Pain Management PC Past Accepting new patients
J.Robert Vankirk Anesthesia Services, Inc. Past Accepting new patients
Tri City Geriatrics Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmartin32656@direct.covenanthealthcare.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1871847657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 N SAGINAW ST",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486551021",
            "telephone_number": "989-865-8270",
            "fax_number": "989-865-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 N SAGINAW ST",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486551021",
            "telephone_number": "989-865-8270",
            "fax_number": "989-865-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704259864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmartin32656@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "1124 N Saginaw St",
            "city": "Saint Charles",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486551021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Charles, MI

Sources for this page

Verify at the official NPI Registry.