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MS. MARY KATHLEEN MARTINEZ PMHNP-BC
NPI 1013513779
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since December 08, 2020PECOS EnrolledAccepts Medicare Assignment
4425 JUAN TABO BLVD NE STE 112, ALBUQUERQUE, NM 87111(505) 503-6800(866) 530-1835 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Dec 8, 2020 (2 updates tracked since 2020).

About Ms. Mary Kathleen Martinez Pmhnp-bc NPPES

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

MS. MARY KATHLEEN MARTINEZ PMHNP-BC (NPI 1013513779) is an individual psychiatric/mental health provider in Albuquerque, New Mexico, licensed in New Mexico (APRN-62222) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013513779
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. MARY KATHLEEN MARTINEZCredential: PMHNP-BC
Location Address4425 JUAN TABO BLVD NE STE 112Albuquerque, NM 87111-2684
Mailing Address4425 Juan Tabo Blvd NeAlbuquerque, NM 87111-2681 · (505) 503-6800 · Fax (866) 530-1835
Phone(505) 503-6800
Fax(866) 530-1835
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 8, 2020
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1013513779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NM · APRN-62222
4425 JUAN TABO BLVD NE STE 112, Albuquerque, NM 87111
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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

Ms. Mary Kathleen Martinez Pmhnp-bc 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 ID4789091695
PECOS Enrollment IDI20210319002218
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DIANE C. CHAVEZ MA, LPCC, LSAA
Counselor (Mental Health)
4425 JUAN TABO BLVD NE STE 112
ALBUQUERQUE, NM 87111
Bernalillo County (505) 503-6800
SANDRA GAYLE SALAZAR PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4425 JUAN TABO BLVD NE STE 112
ALBUQUERQUE, NM 87111
Bernalillo County (505) 503-6800
ELEMENTAL HEALTH AND WELLNESS CENTER LLC
Marriage & Family Therapist
4425 JUAN TABO BLVD NE STE 112
ALBUQUERQUE, NM 87111
Bernalillo County (505) 503-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Martinez's NPI number?

The NPI number for Mary Martinez is 1013513779. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Where is Mary Martinez located?

Mary Martinez practices at 4425 Juan Tabo Blvd NE Ste 112, Albuquerque, NM 87111. The listed phone number is (505) 503-6800.

What is Mary Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mary Martinez enrolled in Medicare?

Yes. Mary Martinez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Martinez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Mary Martinez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Martinez was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.