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TIFFANY M MARTINEZ PMHNP
NPI 1063813962
Nurse Practitioner - Psychiatric/Mental Health in Pleasant Point, ME

Active since September 10, 2014PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
11 BACK RD, PLEASANT POINT, ME 04667(207) 853-0644(336) 864-2830 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2024, Jul 10, 2018 (2 updates tracked since 2018).

About Tiffany M Martinez Pmhnp NPPES

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

TIFFANY M MARTINEZ PMHNP (NPI 1063813962) is an individual psychiatric/mental health provider in Pleasant Point, Maine, licensed in Maine (CNP141057) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1063813962
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTIFFANY M MARTINEZCredential: PMHNP
Location Address11 BACK RDPleasant Point, ME 04667-4119
Mailing Address11 Back RdPleasant Point, ME 04667-4119 · (207) 853-0644 · Fax (336) 864-2830
Phone(207) 853-0644
Fax(336) 864-2830
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 10, 2014
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1063813962 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 ME · CNP141057
Also ListedClinical Nurse Specialist · Community Health/Public HealthTaxonomy 364SC1501X · License CNP141057 (ME)
11 BACK RD, Pleasant Point, ME 04667
Open in Google Maps ↗

Secondary Practice Locations 3

Location 150 Monument SqPortland, ME 04101-4039 · Phone (207) 221-8631
Location 2100 Campus Ave Ste 208Lewiston, ME 04240-6069 · Phone (207) 777-8974 · Fax (207) 777-8946
Location 393 Campus AveLewiston, ME 04240 · Phone (207) 777-8700 · Fax (207) 777-8826

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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

Tiffany M Martinez Pmhnp 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 ID345461497
PECOS Enrollment IDI20141015000863
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 Reassignments

4

Medicare enrollment records show Tiffany Martinez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Passamaquoddy Tribal Council
Same address
Federally Qualified Health Center (FQHC)
11 BACK RD
Pleasant Point, ME 04667
  • Reassigned Medicare billing, Maine enrollment
  • 10 clinicians in this Medicare group
NPI 1760474613 (207) 853-0644
Mainehealth
103 mi
Critical Access
118 NORTHPORT AVE
Belfast, ME 04915
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1265912075 (207) 338-2500
St. Mary's Regional Medical Center
167 mi
General Acute Care Hospital
93 CAMPUS AVE
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: St Marys Regional Medical Center
  • 381 clinicians in this Medicare group
NPI 1447226584 (207) 777-8100
Community Clinical Services, Inc.
168 mi
Federally Qualified Health Center (FQHC)
57 BIRCH ST STE 102
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 80 clinicians in this Medicare group
NPI 1164477568 (207) 753-5400

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 04667 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

GWEN C DUFFIELD PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
11 BACK RD
PLEASANT POINT, ME 04667
Washington County (207) 853-0644
DENISE ELAINE HARRIS RD
Dietitian, Registered
11 BACK RD
PLEASANT POINT, ME 04667
Washington County (207) 853-0711
CARSTEN MACKELDEY
Social Worker (Clinical)
11 BACK RD
PLEASANT POINT, ME 04667
Washington County (207) 853-0644
CYNTHIA L LEWEY CNA
Home Health Aide
11 BACK RD
PLEASANT POINT, ME 04667
Washington County (207) 853-0644
PASSAMAQUODDY TRIBAL COUNCIL
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
11 BACK RD
PLEASANT POINT, ME 04667
Washington County (207) 853-0644
VICTORIA GANZ ACNP-BC
Clinical Nurse Specialist (Acute Care)
11 BACK RD
PLEASANT POINT, ME 04667
Washington County (207) 853-0644
SUSAN C NEPTUNE
Technician, Pathology (Phlebotomy)
11 BACK RD
PLEASANT POINT, ME 04667
Washington County (207) 853-0644
ALAHNA M ROACH
Counselor (Mental Health)
11 BACK RD
PLEASANT POINT, ME 04667
Washington County (207) 853-5035

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 Tiffany Martinez's NPI number?

The NPI number for Tiffany Martinez is 1063813962. It was assigned to this individual provider in the NPPES registry on September 10, 2014.

Where is Tiffany Martinez located?

Tiffany Martinez practices at 11 Back Rd, Pleasant Point, ME 04667. The listed phone number is (207) 853-0644.

What is Tiffany Martinez's specialty?

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

Is Tiffany Martinez enrolled in Medicare?

Yes. Tiffany 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.

Which organizations bill Medicare for Tiffany Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Martinez reassigns Medicare benefits to 4 organizations: Passamaquoddy Tribal Council (Pleasant Point, ME), Mainehealth (Belfast, ME), St. Mary's Regional Medical Center (Lewiston, ME) and Community Clinical Services, Inc. (Lewiston, ME). Each 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 Tiffany Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Martinez accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Tiffany 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 Tiffany Martinez was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.