Individual provider Active NPI

Stephanie Anne Martin, NP

  • Adult Health Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1912568866
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0994769-NP Issued in CO
Practice address
1136 E Stuart St Ste 4202
Fort Collins, CO 80525-1193
Phone
(970) 344-8474
Fax
(949) 864-3755
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0994769 CO
Adult Health Nurse Practitioner 363LA2200X APN.0994769-NP CO Primary

Addresses

Primary practice location

1136 E Stuart St Ste 4202
Fort Collins, CO 80525-1193

Mailing address

1136 E Stuart St Ste 4202
Fort Collins, CO 80525-1193
Phone (970) 344-8474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20190809001592 CO Practitioner - Nurse Practitioner 8921335167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.27 of 100Reported as group
Quality
77.46
Promoting interoperability
99
Improvement activities
40
Cost
77.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0994769COMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glow Wellness and Weight Loss Limited Acute Care CurrentSince Jun 17, 2025 Accepting new patients

Locations

1136 E Stuart St
Ste 4202
Fort Collins, CO 80525
Phone (970) 221-5925

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1912568866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 4202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251193",
            "telephone_number": "970-344-8474",
            "fax_number": "949-864-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 4202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251193",
            "telephone_number": "970-344-8474",
            "fax_number": "949-864-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "0994769",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0994769-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.