MS. JENNY ANNE MARTIN NP
NPI 1063091619
Nurse Practitioner - Primary Care in Oakland, CA
About Ms. Jenny Anne Martin Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JENNY ANNE MARTIN NP (NPI 1063091619) is an individual primary care provider in Oakland, California, licensed in California (95015446) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jenny Anne Martin Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jenny Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berkeley, CA 94702
- Reassigned Medicare billing, California enrollment
- 241 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jenny Martin's NPI number?
The NPI number for Jenny Martin is 1063091619. It was assigned to this individual provider in the NPPES registry on April 2, 2021.
Where is Jenny Martin located?
Jenny Martin practices at 386 14th St, Oakland, CA 94612. The listed phone number is (415) 624-7950.
What is Jenny Martin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Jenny Martin enrolled in Medicare?
Yes. Jenny Martin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jenny Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Martin reassigns Medicare benefits to Lifelong Medical Care (Berkeley, CA). 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 Jenny Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jenny Martin was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Ms. Jenny Anne Martin, NP · NPI 1063091619
Primary Care physician in Oakland, California. Individual provider, active in the CMS NPPES registry since April 2, 2021.
## Identity
- **NPI:** 1063091619 (Entity type: Individual)
- **Enumerated:** April 2, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95015446 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 386 14TH ST, Oakland, CA 94612-3211
- **Phone:** (415) 624-7950
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lifelong Medical Care (NPI 1689670002, Berkeley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1063091619) · Data from the CMS NPPES public registry.