Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. MICHELLE MARTIN PAC
NPI 1003859174
Physician Assistant - Medical in Stanford, KY

Q: What is Michelle Martin's NPI number?

The NPI number for Michelle Martin is 1003859174. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Michelle Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Martin was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 14, 2006PECOS Enrolled

100 JAY STREET, STANFORD, KY 40484(606) 365-1547(606) 365-8380 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Michelle Martin Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MICHELLE MARTIN PAC (NPI 1003859174) is an individual medical provider in Stanford, Kentucky, licensed in Kentucky (PA686) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Fort Logan Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1003859174

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. MICHELLE MARTINCredential: PAC

Location Address100 JAY STREETStanford, KY 40484-7511

Mailing AddressPo Box 330Stanford, KY 40484-0330 · (606) 365-1547 · Fax (606) 365-8380

Phone(606) 365-1547

Fax(606) 365-8380

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJune 14, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1003859174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in KY · PA686

100 JAY STREET, Stanford, KY 40484

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Other Identifiers 1

Medicaid9500353900KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Michelle Martin Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345292504

PECOS Enrollment IDI20050216000018

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ephraim Mcdowell Fort Logan Hospital

Critical Access Hospitals · Stanford, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181315

Location110 Metker TrailStanford, KY 40484 · Lincoln County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers34 claims74 services$5.54 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers14 claims21 services$1.03 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$17.71 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers22 claims22 services$7.34 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers30 claims32 services$106.96 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims660 services$6.56 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAMES ALVIN MILLER III MD

Family Medicine