MRS. JENNIFER L MARTIN PMHNP - BC
NPI 1063232551
Nurse Practitioner - Psychiatric/Mental Health in Prescott, AZ

Q: What is Jennifer Martin's NPI number?

The NPI number for Jennifer Martin is 1063232551. It was assigned to this individual provider in the NPPES registry on October 10, 2024.

Q: What is Jennifer Martin's specialty?

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

Q: Is Jennifer Martin enrolled in Medicare?

No. Jennifer Martin has opted out of Medicare through March 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Martin was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 10, 2024Opted out of Medicare · through Mar 2, 2027

3623 CROSSINGS DR, PRESCOTT, AZ 86305(928) 771-5722(928) 277-1586 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mrs. Jennifer L Martin Pmhnp - Bc NPPES

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

MRS. JENNIFER L MARTIN PMHNP - BC (NPI 1063232551) is an individual psychiatric/mental health provider in Prescott, Arizona, licensed in Arizona (RNP315670) and active in the NPI registry since October 2024. She has opted out of Medicare through March 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063232551

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. JENNIFER L MARTINCredential: PMHNP - BC

Location Address3623 CROSSINGS DRPrescott, AZ 86305-7101

Mailing Address3623 Crossings Dr Ste 358Prescott, AZ 86305-7101 · (928) 277-1572 · Fax (928) 277-1586

Phone(928) 771-5722

Fax(928) 277-1586

Sole ProprietorYes

Enumeration DateOctober 10, 2024

Last NPPES UpdateAugust 22, 2025

NPPES CertifiedAugust 22, 2025

✔ NPI 1063232551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · RNP315670

Also ListedRegistered NurseTaxonomy 163W00000X · License RN177597 (AZ)

3623 CROSSINGS DR, Prescott, AZ 86305

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Jennifer L Martin Pmhnp - Bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 2, 2025 through March 2, 2027.

Opt-Out Effective DateMarch 2, 2025

Opt-Out In Effect ThroughMarch 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86305 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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 Jennifer Martin's NPI number?

The NPI number for Jennifer Martin is 1063232551. It was assigned to this individual provider in the NPPES registry on October 10, 2024.

Where is Jennifer Martin located?

Jennifer Martin practices at 3623 Crossings Dr, Prescott, AZ 86305. The listed phone number is (928) 771-5722.

What is Jennifer Martin's specialty?

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

Is Jennifer Martin enrolled in Medicare?

No. Jennifer Martin has opted out of Medicare through March 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennifer Martin was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.