Individual provider Active NPI

Jessica L. Martin

  • Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1912637943
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-156390 Issued in AL
Practice address
1930 Al Highway 157
Cullman, AL 35058-0609
Phone
(256) 734-7850
Fax
(256) 734-9633
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 1-156390 AL Primary

Addresses

Primary practice location

1930 Al Highway 157
Cullman, AL 35058-0609

Mailing address

PO Box 2895
Cullman, AL 35056-2895
Phone (256) 735-5072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220706000029 AL Practitioner - Nurse Practitioner 4082094248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRMC Medical Group LLCGroup PAC ID 8729419874, 81 clinicians

Practice addresses (Care Compare)

1930 Al Hwy 157
Cullman, AL 35058-0609
Phone (256) 734-7850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.37 of 100Reported as group
Quality
45.96
Promoting interoperability
100
Improvement activities
40
Cost
75.26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CRMC Medical Group LLC Single Specialty CurrentSince Jun 27, 2022 Accepting new patients
CRMC Medical Group LLC CurrentSince Jun 27, 2022 Accepting new patients

Locations

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

1930 AL Highway 157
Cullman, AL 35058
Phone (256) 734-7850

1705 Main Ave SW
Ste B
Cullman, AL 35055
Phone (256) 735-5075

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.

Hospital & facility affiliations 1

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1912637943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2895",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350562895",
            "telephone_number": "256-735-5072",
            "fax_number": "256-801-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580609",
            "telephone_number": "256-734-7850",
            "fax_number": "256-734-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-156390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.