Kei Martin, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11008013 Issued in FL

Practice address

140 Centennial Way
Tustin, CA 92780-3711

Phone

(949) 594-0446

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, CA, NV, UT, AZ, CO, FL, OR8 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 8

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dispatchhealth Washington PCGroup PAC ID 2062765423, 44 clinicians

True North Health Navigation LLCGroup PAC ID 5294960696, 57 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

50.5 of 100Reported as group

Quality

44.61

Promoting interoperability

0

Improvement activities

40

Cost

50.57

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kei.martin.1@13869.direct.athenahealth.com

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.

• Dispatchhealth Washington PC

  • Emergency Medicine Physician
  • Tacoma, WA
  • NPI 1013490507
  Medicare reassignment Care Compare group NPD
• True North Health Navigation LLC

  dba Dispatch Health

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133
  Medicare reassignment Care Compare group NPD
• Dispatchhealth-Ca, PC

  • Emergency Medicine Physician
  • Tustin, CA
  • NPI 1639752553
  Medicare reassignment NPD
• Dispatchhealth-Arizona

  dba DispatchHealth

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1922532944
  Medicare reassignment NPD
• Dispatchhealth-Florida Inc.

  • Emergency Medicine Physician
  • Tampa, FL
  • NPI 1407472723
  Medicare reassignment NPD
• Dispatchhealth-Oregon PC

  • Emergency Medicine Physician
  • Portland, OR
  • NPI 1649822990
  Medicare reassignment NPD
• Dispatchhealth-Arizona

  • Emergency Medicine Physician
  • Columbia, MD
  • NPI 1811765449
  NPD
• True North Health Navigation LLC

  dba DispatchHealth

  • Emergency Medicine Physician
  • Murray, UT
  • NPI 1700414216
  NPD
• Professional Portable Radiologic Services Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • San Bernardino, CA
  • NPI 1740867712
  NPD (past)
• Dispatchhealth Advanced Care - Washington PC

  • Hospitalist Physician
  • Denver, CO
  • NPI 1093324659
  NPD (past)
• Professional Portable Radiologic Services Inc.

  • Physiological Laboratory
  • Houston, TX
  • NPI 1457087991
  NPD (past)
• Simplifed, Inc.

  dba SimpliFed

  • Lactation Consultant (Non-RN)
  • Centennial, CO
  • NPI 1477213635
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1972117992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CENTENNIAL WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803711",
            "telephone_number": "949-594-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CENTENNIAL WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803711",
            "telephone_number": "949-594-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KEI",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene a. Miller, DMD, Inc.
• Rebecca Marquez
• Madysen Marsh
• Marta Rudat DDS
• Crystal Martin, PA
• Kerry Martinelli, MFT
• Angelica Martinez-Victor, LCSW
• Alexander Martinez
• Alexandra Stephanie Martinez
• Belen Martinez

• Family Nurse Practitioner in Tustin, CA
• Providers in Tustin, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.