Individual provider Active NPI

Anna Miria Martz, APRN

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1902374879
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012876 Issued in KY
Practice address
3360 Wayne Sullivan Dr
Paducah, KY 42003
Phone
(270) 443-9474
Fax
(270) 443-9477
NPI assigned
Nov 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 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 3012876 KY Primary

Addresses

Primary practice location

3360 Wayne Sullivan Dr
Paducah, KY 42003

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-1235

Other practice location 1

1099 Medical Center Cir
Mayfield, KY 42066-1143
Phone (270) 251-4100

Other practice location 2

125 S 20th St
Paducah, KY 42001-7100
Phone (270) 575-3247

Other identifiers 1

IdentifierTypeStateIssuer
7100583380MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190107001000 KY Practitioner - Nurse Practitioner 4587900907 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3012876KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Jul 1, 2020 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Apr 9, 2019 Accepting new patients
Arcare CurrentSince Jul 1, 2020 Accepting new patients
Arcare Current Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Apr 9, 2019 Accepting new patients
Hospital Medicine Services of Tennessee PC Family CurrentSince Jan 1, 2019 Accepting new patients
Arcare Past Accepting new patients

Locations

117 S 2nd St
Augusta, AR 72006

120 N 4th St
Barlow, KY 42024
Phone (270) 334-3131

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

312 S 8th St
Murray, KY 42071
Phone (270) 753-2395

125 S 20th St
Paducah, KY 42001
Phone (270) 415-0467

1023 W Main St
Princeton, KY 42445
Phone (270) 254-5840

850 Cutoff Rd
Smithland, KY 42081
Phone (270) 928-3500

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Interoperability endpoints

  • Direct secure messaging: anna.martz@arcare.directbygreenway.com

Organizations & group practices 7

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": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1902374879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 WAYNE SULLIVAN DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-443-9474",
            "fax_number": "270-443-9477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1099 Medical Center Cir",
            "address_purpose": "LOCATION",
            "city": "Mayfield",
            "state": "KY",
            "postal_code": "420661143",
            "country_code": "US",
            "telephone_number": "270-251-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 S 20th St",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420017100",
            "country_code": "US",
            "telephone_number": "270-575-3247",
            "fax_number": "270-908-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTZ",
        "first_name": "ANNA",
        "middle_name": "MIRIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100583380",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.