Active NPI
Jennie Elizabeth Martini, CRNP
- Nurse Practitioner
- Camp Hill, PA
National Provider Identifier
1902459951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP020628
- Practice address
- 431 N 21St St
Camp Hill, PA 17011-2202 - Phone
- (717) 763-3730
- NPI assigned
- Jul 18, 2019
- Last updated
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP020628 | PA | Primary |
| Family Nurse Practitioner | 363LF0000X | F07191012 | PA |
Addresses
Primary practice location
431 N 21St St
Camp Hill, PA 17011-2202
Mailing address
431 N 21St St
Ste 100
Camp Hill, PA 17011-2202
Phone (717) 763-3730
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmartini191968@direct.geisinger.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1023 Mumma Rd
Wormleysburg, PA 17043-1164
Phone (717) 737-3377
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP020628 | PA | MD | Nurse Practitioner |
| F07191012 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Kidney Disease and Hypertension, LLC | Current | Accepting new patients |
Locations
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2461
1023 Mumma Rd
Wormleysburg, PA 17043
Phone (717) 732-3377
Interoperability endpoints
- jmartini191968@direct.geisinger.edu
Organizations & group practices 1
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.
-
- Nephrology Physician
- Camp Hill, PA
- NPI 1619039914
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Camp Hill, PA
- NPI 1659566008
Hospital
-
- General Acute Care Hospital
- Camp Hill, PA
- NPI 1881690212
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1902459951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 N 21ST ST",
"address_2": "STE 100",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112202",
"telephone_number": "717-763-3730",
"fax_number": "717-763-3734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 N 21ST ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112202",
"telephone_number": "717-763-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINI",
"first_name": "JENNIE",
"middle_name": "ELIZABETH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP020628",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "F07191012",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmartini191968@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "431 N 21st St",
"city": "Camp Hill",
"state": "PA",
"country_code": "US",
"postal_code": "170112202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.