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ANDREA ELISE MARTINEZ MSN, RN, AGACNP-BC
NPI 1073973020
Nurse Practitioner in San Antonio, TX

Active since March 03, 2016PECOS EnrolledAccepts Medicare Assignment
18414 US HIGHWAY 281 N, SUITE 104, SAN ANTONIO, TX 78259(210) 495-0222 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2016, Mar 3, 2016 (2 updates tracked since 2016).

About Andrea Elise Martinez Msn, Rn, Agacnp-bc NPPES

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

ANDREA ELISE MARTINEZ MSN, RN, AGACNP-BC (NPI 1073973020) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (AP129685) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1073973020
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANDREA ELISE MARTINEZCredential: MSN, RN, AGACNP-BC
Location Address18414 US HIGHWAY 281 N, SUITE 104San Antonio, TX 78259-7610
Mailing Address6923 Accolon DrSan Antonio, TX 78229-5048 · (210) 275-4804
Phone(210) 495-0222
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 3, 2016
Last NPPES UpdateMarch 23, 20162 updates tracked since enumeration
✔ NPI 1073973020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP129685
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.
18414 US HIGHWAY 281 N, San Antonio, TX 78259
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Elise Martinez Msn, Rn, Agacnp-bc 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 ID7618276569
PECOS Enrollment IDI20160428000444
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
224 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
130 services94 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
48 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
44 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78259 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 3

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

VIVIAN M AYOUB M.D.
Internal Medicine
18414 US HIGHWAY 281 N, SUITE 116
SAN ANTONIO, TX 78259
Bexar County (210) 354-0800
ADVANCED SURGERY CENTER OF SAN ANTONIO, LLC
Clinic/Center (Ambulatory Surgical)
18414 US HIGHWAY 281 N, 114
SAN ANTONIO, TX 78259
Bexar County (830) 556-6134
DR. JIMMY DANIEL FERNANDEZ M.D.
Internal Medicine
18414 US HIGHWAY 281 N, SUITE 104
SAN ANTONIO, TX 78259
Bexar County (210) 495-0222

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 Andrea Martinez's NPI number?

The NPI number for Andrea Martinez is 1073973020. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Andrea Martinez located?

Andrea Martinez practices at 18414 Us Highway 281 N Suite 104, San Antonio, TX 78259. The listed phone number is (210) 495-0222.

What is Andrea Martinez's specialty?

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

Is Andrea Martinez enrolled in Medicare?

Yes. Andrea 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.

What insurance does Andrea Martinez accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Andrea 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 Andrea Martinez was last updated on March 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.