Active NPI
Kristin Martin, PA-C
- Medical Physician Assistant
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10003176A
- Practice address
- 3500 S Lafountain St
Kokomo, IN 46902-3803 - Phone
- (765) 776-3020
- NPI assigned
- Jan 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10003176A | IN | |
| Medical Physician Assistant | 363AM0700X | 10003176A | IN | Primary |
Addresses
Primary practice location
3500 S Lafountain St
Kokomo, IN 46902-3803
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
3 Municipal Dr
Fishers, IN 46038-1574
Phone (317) 567-5045
Other practice location 2
1000 E Main St
Danville, IN 46122-1948
Phone (317) 745-4451
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmartin450895@direct-PRD.stelizabeth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10003176A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendricks County Hospital | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Physician Assistant | Current | Accepting new patients |
| Hendricks County Hospital | Current | Accepting new patients | |
| Hendricks County Hospital | Past | Accepting new patients | |
| Hendricks County Hospital | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510
8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500
1000 E Main St
Danville, IN 46122
Phone (317) 745-3420
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Interoperability endpoints
- https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
- kmartin450895@direct-prd.stelizabeth.com
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
- General Practice Physician
- Danville, IN
- NPI 1497536163
-
- Infectious Disease Physician
- Greencastle, IN
- NPI 1326938903
-
- Pediatrics Physician
- Brownsburg, IN
- NPI 1508758210
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Urgent Care Clinic/Center
- Avon, IN
- NPI 1063411551
-
- Family Medicine Physician
- Plainfield, IN
- NPI 1104927557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1962093344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 S LAFOUNTAIN ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469023803",
"telephone_number": "765-776-3020"
}
],
"practiceLocations": [
{
"address_1": "3 Municipal Dr",
"address_purpose": "LOCATION",
"city": "Fishers",
"state": "IN",
"postal_code": "460381574",
"country_code": "US",
"telephone_number": "317-567-5045",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 E Main St",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "IN",
"postal_code": "461221948",
"country_code": "US",
"telephone_number": "317-745-4451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "KRISTIN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-28",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10003176A",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IN",
"license": "10003176A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmartin450895@direct-PRD.stelizabeth.com",
"affiliation": "N",
"address_1": "1000 E Main St",
"city": "Danville",
"state": "IN",
"country_code": "US",
"postal_code": "461221948",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.