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MS. JINA K MARTIN
NPI 1043917511
Nurse Practitioner in Providence, RI

Active since February 14, 2023PECOS EnrolledAccepts Medicare Assignment
164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-4102(401) 793-4049 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Jina K Martin NPPES

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

MS. JINA K MARTIN (NPI 1043917511) is an individual nurse practitioner in Providence, Rhode Island, licensed in Rhode Island (APRN04553) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043917511
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. JINA K MARTIN
Location Address164 SUMMIT AVEProvidence, RI 02906-2853
Mailing Address164 Summit AveProvidence, RI 02906-2853 · (401) 793-4102 · Fax (401) 793-4049
Phone(401) 793-4102
Fax(401) 793-4049
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 14, 2023
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1043917511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in RI · APRN04553
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
164 SUMMIT AVE, Providence, RI 02906
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jina K Martin 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 ID8426576315
PECOS Enrollment IDI20250514002993
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.

Medicare Billing Reassignment

Medicare enrollment records show Jina Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifespan Physician Group Inc
0.4 mi
Urology
195 COLLYER ST STE 201
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1720949803 (401) 272-7799

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 20

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

MRS. HALINA KUC-MAZGAJ
Nurse Practitioner (Family)
164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906
Providence County (401) 793-3902
KARL HERMAN M.D.
Internal Medicine
164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906
Providence County (401) 793-4489
MUHAMMAD BAIG M.D.
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906
Providence County (401) 793-4489
MS. LEANNE LAPARLE LICSW
Social Worker (Clinical)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-2069
THOMAS FAIRWEATHER CRAIN MD
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4630
JAMES ATKINSON MD
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4500
DR. ORIANE DIANA LONGERSTAEY MD
Emergency Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (704) 355-3181
JEFFREY M BUROCK MD
Psychiatry & Neurology (Psychiatry)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4500

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 Jina Martin's NPI number?

The NPI number for Jina Martin is 1043917511. It was assigned to this individual provider in the NPPES registry on February 14, 2023.

Where is Jina Martin located?

Jina Martin practices at 164 Summit Ave, Providence, RI 02906. The listed phone number is (401) 793-4102.

What is Jina Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jina Martin enrolled in Medicare?

Yes. Jina Martin 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.

Which organization bills Medicare for Jina Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jina Martin reassigns Medicare benefits to Lifespan Physician Group Inc (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jina Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jina Martin affiliated with any hospitals?

According to CMS data, Jina Martin is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Jina Martin was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.