Martha Cortez, FNP – Nurse Practitioner

Key facts

NPI: 1982486320
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: 13530141-4405 (UT)
Practice address: 3702 S State St Ste 107
South Salt Lake, UT 84115-5096
Phone: (801) 288-2634
Fax: (801) 288-1186
NPI assigned: Oct 19, 2023
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Nephrology Associates of Utah LLC Nephrology Physician · Salt Lake City, UT · NPI 1750473948

Medicare reassignment Care Compare group NPD UT

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2023
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Nephrology Associates of Utah LLC (31 clinicians)

Practice addresses (Care Compare)

3702 S State St
Suite 107
S Salt Lake, UT 84115-5096
Phone (801) 288-2634

Medicare participation

Medicare fee-for-service enrollment: Enrolled in UT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240209000647	UT	Practitioner - Nurse Practitioner	4385087055	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
13530141-4405	UT	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Nephrology Associates of Utah LLC		Current since Dec 24, 2023	Accepting new patients

Locations

1551 Renaissance Towne Dr
Ste 340
Bountiful, UT 84010
Phone (801) 288-2634

12523 S Creek Meadow Rd
Ste 111
Riverton, UT 84065
Phone (801) 288-2634

3702 S State St
Ste 107
South Salt Lake, UT 84115
Phone (801) 288-2634

1244 N Main St
Ste 101
Tooele, UT 84074
Phone (435) 249-0007

5285 S 400 E
#B
Washington Terrace, UT 84405
Phone (801) 476-7300

3823 W 9000 S
West Jordan, UT 84088
Phone (801) 288-2634

4101 W Pioneer Pkwy
Ste 103
West Valley City, UT 84120
Phone (801) 288-2634

2965 W 3500 S
Fl 2
West Valley City, UT 84119
Phone (801) 288-2634

Interoperability endpoints

FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	13530141-4405	UT
Nurse Practitioner	363L00000X	13530141-4405	UT	Yes

Addresses

Primary practice location

3702 S State St Ste 107
South Salt Lake, UT 84115-5096

Mailing address

3702 S State St Ste 107
South Salt Lake, UT 84115-5096
Phone (801) 288-2634

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	mcortez36478@direct.acumenmd.com

Other providers in South Salt Lake, UT

All providers in South Salt Lake, UT · Nurse Practitioner in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.