Martha N Cullen, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN1568282 Issued in FL

Practice address

701 Monastery Rd
Orange City, FL 32763

Phone

(386) 456-1600

Fax

(386) 456-1550

NPI assigned

Oct 10, 2006

Last updated

Oct 28, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• John Knox Village of Central Florida Inc Home health agency, Orange City, FL, CCN 107530
• Halifax Health Hospice Hospice, Port Orange, FL, CCN 101522
• Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
• Adventhealth Deland Hospital, Deland, FL, CCN 100045
• Majestic Oaks Nursing home, Orange City, FL, CCN 105374

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.

• John Knox Village of Central Florida, Inc

  dba Majestic Oaks

  • Skilled Nursing Facility
  • Orange City, FL
  • NPI 1124011770
  Medicare reassignment NPD
• John Knox Village of Central Florida, Inc

  • Primary Care Nurse Practitioner
  • Orange City, FL
  • NPI 1861263147
  Medicare reassignment NPD

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

• Halifax Hospice Inc

  dba Hospice of Volusia Flagler

  • Community Based Hospice Care Agency
  • Port Orange, FL
  • NPI 1376510065
  Care Compare affiliation
• John Knox Village of Central Florida, Inc

  dba Majestic Oaks

  • Skilled Nursing Facility
  • Orange City, FL
  • NPI 1124011770

  Nursing home

  Care Compare affiliation
• John Knox Village of Central Florida, Inc

  • Home Health Agency
  • Orange City, FL
  • NPI 1346584828
  Care Compare affiliation
• Memorial Hospital-West Volusia Inc

  dba AdventHealth DeLand

  • General Acute Care Hospital
  • Deland, FL
  • NPI 1649367269
  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  dba AdventHealth Fish Memorial

  • General Acute Care Hospital
  • Orange City, FL
  • NPI 1700978558
  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  dba Adventhealth Medical Group

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1902095078

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1972690972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MONASTERY RD FL 32763",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327636222",
            "telephone_number": "386-456-1600",
            "fax_number": "386-456-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MONASTERY RD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "32763",
            "telephone_number": "386-456-1600",
            "fax_number": "386-456-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "MARTHA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN1568282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abnerys Cruz Ralat
• Pedro J Cruz Torres, MD
• Marinely Cruz-Amy, M.D.
• Mario Cruz
• Sophia Cruz
• William R Cunningham
• Larry D Curtis Jr., PHARMD
• Cypress Ambulatory Surgery Center, LLC (Wellness Avenue Surgery Center)
• Melissa Dacosta, COTA/L
• Damato Surgical Assisting, LLC

• Adult Health Nurse Practitioner in Orange City, FL
• Providers in Orange City, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.