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ALYSSA MARTIN MSN, APRN, FNP-BC
NPI 1114541117
Nurse Practitioner - Family in Modesto, CA

Active since June 04, 2020PECOS EnrolledAccepts Medicare Assignment
1001 SYLVAN AVE STE A, MODESTO, CA 95350(209) 248-7168(209) 846-9641 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2026, Jul 28, 2020, Jun 4, 2020 (3 updates tracked since 2020).

About Alyssa Martin Msn, Aprn, Fnp-bc NPPES

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

ALYSSA MARTIN MSN, APRN, FNP-BC (NPI 1114541117) is an individual family provider in Modesto, California, licensed in California (95014544) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Modesto, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114541117
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALYSSA MARTINCredential: MSN, APRN, FNP-BC
Location Address1001 SYLVAN AVE STE AModesto, CA 95350-1699
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Phone(209) 248-7168
Fax(209) 846-9641
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 4, 2020
Last NPPES UpdateMay 7, 20263 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1114541117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95014544
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95014544 (CA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 95014544 (CA)
1001 SYLVAN AVE STE A, Modesto, CA 95350
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Secondary Practice Location 1

Location 11541 Florida Ave Ste 200Modesto, CA 95350-4438 · Phone (209) 577-3388

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

Alyssa Martin Msn, Aprn, Fnp-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 ID8426441668
PECOS Enrollment IDI20220210000579
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

2

Medicare enrollment records show Alyssa Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central California Bariatric Surgery A Medical Corporation
Same address
Surgery
1001 SYLVAN AVE STE A
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
NPI 1124141163 (209) 422-6120
Sutter Valley Medical Foundation
2.5 mi
Multi-Specialty
600 COFFEE RD
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
NPI 1669846986 (209) 524-1211

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 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 7

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

DR. PATRICK JAMES COATES M.D.
Surgery
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Stanislaus County (209) 422-6120
MATTHEW JAMES COATES M.D.
Surgery
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Stanislaus County (209) 248-7168
CENTRAL CALIFORNIA BARIATRIC SURGERY, PARTNERSHIP
Surgery
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Stanislaus County (209) 248-7168
CENTRAL CALIFORNIA BARIATRIC SURGERY A MEDICAL CORPORATION
Surgery
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Stanislaus County (209) 422-6120
ANNA DAVILA PA
Physician Assistant (Surgical)
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Stanislaus County (209) 422-6120
ANTONIO KOBYASHI COIRIN M.D.
Surgery (Trauma Surgery)
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Stanislaus County (209) 422-6120
MR. DONALD SCOTT PAULSEN PA
Physician Assistant (Surgical)
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Stanislaus County (209) 422-6120

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 Alyssa Martin's NPI number?

The NPI number for Alyssa Martin is 1114541117. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Alyssa Martin located?

Alyssa Martin practices at 1001 Sylvan Ave Ste A, Modesto, CA 95350. The listed phone number is (209) 248-7168.

What is Alyssa Martin's specialty?

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

Is Alyssa Martin enrolled in Medicare?

Yes. Alyssa Martin 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 Alyssa Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Martin reassigns Medicare benefits to 2 organizations: Central California Bariatric Surgery A Medical Corporation (Modesto, CA) and Sutter Valley Medical Foundation (Modesto, CA). 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 Alyssa 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 Alyssa Martin was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.