SARA ANN MARTIN FNP-BC
NPI 1063117257
Nurse Practitioner - Family in Peoria, IL

Q: What is Sara Martin's NPI number?

The NPI number for Sara Martin is 1063117257. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Q: What is Sara Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sara Martin was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 05, 2023PECOS Enrolled

427 W NORTHMOOR RD, PEORIA, IL 61614(309) 692-5337 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sara Ann Martin Fnp-bc NPPES

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

SARA ANN MARTIN FNP-BC (NPI 1063117257) is an individual family provider in Peoria, Illinois, licensed in Illinois (209027066) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063117257

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSARA ANN MARTINCredential: FNP-BC

Location Address427 W NORTHMOOR RDPeoria, IL 61614-3542

Mailing Address427 W Northmoor RdPeoria, IL 61614-3542 · (309) 692-5337

Phone(309) 692-5337

Sole ProprietorNo

Enumeration DateApril 5, 2023

NPPES CertifiedMarch 7, 2023

✔ NPI 1063117257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209027066

427 W NORTHMOOR RD, Peoria, IL 61614

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Ann Martin Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 61614 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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Other Providers at the Same Location NPPES 14

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

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