NPIMap

Individual provider Active NPI

Tami Marie Martin, FNP

  • Family Nurse Practitioner
  • Wheeler, OR
National Provider Identifier
1902105406
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201150134NP Issued in OR
Practice address
885 Nehalem Blvd.
Wheeler, OR 97147
Phone
(800) 368-5182
Fax
(844) 712-3001
NPI assigned
Mar 23, 2011
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 201150134NP OR Primary

Addresses

Primary practice location

885 Nehalem Blvd.
Wheeler, OR 97147

Mailing address

PO Box 176
Wheeler, OR 97147-0176
Phone (800) 368-5182

Other identifiers 1

IdentifierTypeStateIssuer
500651733MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130411000117 OR Practitioner - Nurse Practitioner 0042498040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nehalem Bay Health Center and PharmacyGroup PAC ID 9830007558, 6 clinicians

Practice addresses (Care Compare)

885 Nehalem Blvd
Wheeler, OR 97147-0035
Phone (800) 368-5182

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201150134NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nehalem Bay Health Center and Pharmacy CurrentSince May 19, 2025 Accepting new patients
Nehalem Bay Health Center and Pharmacy Past Accepting new patients
Southeast Missouri Network Against Sexual Violence Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1902105406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "WHEELER",
            "state": "OR",
            "postal_code": "971470176",
            "telephone_number": "800-368-5182",
            "fax_number": "844-712-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 NEHALEM BLVD.",
            "city": "WHEELER",
            "state": "OR",
            "postal_code": "97147",
            "telephone_number": "800-368-5182",
            "fax_number": "844-712-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TAMI",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201150134NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500651733",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeler, OR

Sources for this page

Verify at the official NPI Registry.