Active NPI
Mathew Lee Martin, FNP-C
- Family Nurse Practitioner
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71017145A
- Practice address
- 1701 S Creasy LN
Lafayette, IN 47905-4972 - Phone
- (765) 502-4015
- Fax
- (765) 502-4016
- NPI assigned
- May 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28247807A | IN | |
| Nurse Practitioner | 363L00000X | 71017145A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71017145A | IN | Primary |
Addresses
Primary practice location
1701 S Creasy LN
Lafayette, IN 47905-4972
Mailing address
PO Box 781076
Detroit, MI 48278-1008
Phone (317) 528-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 S Creasy LN
Lafayette, IN 47905-4972
Phone (765) 502-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28247807A | IN | MD | Nurse Practitioner |
| 71017145A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients |
Locations
1706 Lafayette Rd
Crawfordsville, IN 47933
Phone (765) 361-3000
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1701 S Creasy Ln
Ste 310
Lafayette, IN 47905
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crawfordsville, IN
- NPI 1588774558
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1891688701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781008",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S CREASY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054972",
"telephone_number": "765-502-4015",
"fax_number": "765-502-4016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MATHEW",
"middle_name": "LEE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-30",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28247807A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71017145A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71017145A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.