Individual provider Active NPI

Victoria Louise Martz, APRN,FNP-C

  • Nurse Practitioner
  • Kettering, OH
National Provider Identifier
1992429831
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN479133 Issued in OH
Practice address
500 Lincoln Park Blvd Ste 100
Kettering, OH 45429-6410
Phone
(937) 222-3118
Fax
(937) 222-1436
NPI assigned
Oct 3, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN479133 OH Primary

Addresses

Primary practice location

500 Lincoln Park Blvd Ste 100
Kettering, OH 45429-6410

Mailing address

500 Lincoln Park Blvd Ste 100
Kettering, OH 45429-6410
Phone (937) 222-3118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230117001119 OH Practitioner - Nurse Practitioner 8426429135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio Medical University, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Specialists, LLCGroup PAC ID 9931247574, 8 clinicians

Practice addresses (Care Compare)

1362 E Stroop Rd
Kettering, OH 45429-4926
Phone (937) 643-0015

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN479133OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Specialists, LLC CurrentSince Jan 2, 2023 Accepting new patients
Morrison and Ahmad, MD's, Inc. PastSince Jan 2, 2023 Accepting new patients

Locations

1911 N Fairfield Rd
Ste 110
Beavercreek, OH 45432
Phone (937) 376-2571

1362 E Stroop Rd
Kettering, OH 45429
Phone (937) 376-2571

215 S Allison Ave
Xenia, OH 45385
Phone (937) 352-6490

Interoperability endpoints

  • Direct secure messaging: victoria.martz@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1992429831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINCOLN PARK BLVD STE 100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454296410",
            "telephone_number": "937-222-3118",
            "fax_number": "937-222-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LINCOLN PARK BLVD STE 100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454296410",
            "telephone_number": "937-222-3118",
            "fax_number": "937-222-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTZ",
        "first_name": "VICTORIA",
        "middle_name": "LOUISE",
        "credential": "APRN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN479133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.