Michelle Renae Martin, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5375286 Issued in KS

Practice address

9119 W 74TH St Ste 260
Merriam, KS 66204-2268

Phone

(913) 632-9480

Fax

(913) 632-9499

NPI assigned

Nov 7, 2008

Last updated

Oct 19, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Michelle Renae Martin Former name

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
• Saint Luke's South Hospital Hospital, Overland Park, KS, CCN 170185
• Saint Luke's East Hospital Hospital, Lees Summit, MO, CCN 260216

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Saint Luke's Physician Group Inc

  dba Saint Luke's Medical Group

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1093263717
  Medicare reassignment Care Compare group NPD
• Shawnee Mission Medical Center Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Merriam, KS
  • NPI 1992735690
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Lukes South Hospital, Inc.

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1154303337
  Care Compare affiliation
• Saint Lukes East Hospital

  dba Saint Luke's East Lee's Summit Hospital

  • General Acute Care Hospital
  • Lee's Summit, MO
  • NPI 1053353490
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  dba Saint Luke's Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1063494177
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  dba Crittenton Children's Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1932642972
  Care Compare affiliation
• St. Luke's Hospital of Kansas City

  dba Saint Luke's Hospital Infusion Center at Liberty

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1275926198
  Care Compare affiliation

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1942454608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST STE 260",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042268",
            "telephone_number": "913-632-9480",
            "fax_number": "913-632-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST STE 260",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042268",
            "telephone_number": "913-632-9480",
            "fax_number": "913-632-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHELLE",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2004027607",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "5375286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MARTIN",
            "middle_name": "RENAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Marks, MD
• Abigail Nicole Martin, DNP, APRN, FNP-BC
• Hailey Martin, PA-C
• Katie Martin, PTA
• Melanie M Martin, M.D.
• Christine A Mary, APRN
• Kristen Michelle Matthews, DPT
• Joshua David Maves
• Patricia Loecke Maxwell, OTR/L
• Teresa May-Teerink

• Adult Health Nurse Practitioner in Merriam, KS
• Providers in Merriam, KS by specialty
• Adult Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.

Verify at the official NPI Registry.