Individual provider Active NPI

Aylene Martinez, FNP-C

  • Family Nurse Practitioner
  • Bastrop, TX
National Provider Identifier
1992211213
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136037 Issued in TX
Practice address
630 Highway 71 W Ste E
Bastrop, TX 78602-4283
Phone
(512) 304-0313
Fax
(512) 304-0326
NPI assigned
Dec 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136037 TX Primary

Addresses

Primary practice location

630 Highway 71 W Ste E
Bastrop, TX 78602-4283

Mailing address

630 Highway 71 W Ste E
Bastrop, TX 78602-4283
Phone (512) 304-0313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20180308000444 TX Practitioner - Nurse Practitioner 0446511406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton CurrentSince Dec 6, 2024 Accepting new patients
Ascension Seton Family Medicine CurrentSince Dec 6, 2024 Accepting new patients
Ascension Seton Family Medicine Current Accepting new patients
Seton Family of Hospitals Past Accepting new patients
Ascension Seton Past Accepting new patients

Locations

630 W State Highway 71
Ste E
Bastrop, TX 78602
Phone (512) 304-0313

200 Roy Rivers Rd
Elgin, TX 78621
Phone (512) 237-5777

1205 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-5362

130 Hays St
Ste Bd
Luling, TX 78648
Phone (830) 875-7000

1201A Hill Rd
Smithville, TX 78957
Phone (512) 360-3698

Interoperability endpoints

  • Direct secure messaging: aylene.martinez.1@8363.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1992211213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 HIGHWAY 71 W STE E",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024283",
            "telephone_number": "512-304-0313",
            "fax_number": "512-304-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 HIGHWAY 71 W STE E",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024283",
            "telephone_number": "512-304-0313",
            "fax_number": "512-304-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "AYLENE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.