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MS. HOLLY L MARTIN MSN FNP-BC
NPI 1114961927
Nurse Practitioner - Family in Slc, UT

Active since June 15, 2006PECOS Enrolled
500 FOOTHILL DRIVE, SLC, UT 84148(801) 582-1565 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Holly L Martin Msn Fnp-bc NPPES

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

MS. HOLLY L MARTIN MSN FNP-BC (NPI 1114961927) is an individual family provider in Slc, Utah, licensed in Utah (141949-8500) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114961927
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. HOLLY L MARTINCredential: MSN FNP-BC
Location Address500 FOOTHILL DRIVESlc, UT 84148
Mailing Address1086 S 900 ESlc, UT 84105
Phone(801) 582-1565
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateMarch 5, 2008
✔ NPI 1114961927 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 UT · 141949-8500
500 FOOTHILL DRIVE, Slc, UT 84148
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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)

Ms. Holly L Martin Msn 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 84148 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 9

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

SLC VA MEDICAL CENTER
Special Hospital
500 FOOTHILL DRIVE
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MS. PATRICE L KENNEDY APRN
Nurse Practitioner (Family)
500 FOOTHILL DRIVE
SLC, TN 84148
Salt Lake County (801) 582-1565
SHARON MCWILLIAMS LAURENZI R.N.
Registered Nurse
500 FOOTHILL DRIVE, GEORGE E. WAHLEN VETERANS AFFAIRS MEDICAL CENTER
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MR. EDWARD EUGENE WIRKOWSKI APRN
Nurse Practitioner
500 FOOTHILL DRIVE, BUILDING 3 - IPU
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
DR. JENNYLYNN F PALISOC ARNP
Nurse Practitioner (Psychiatric/Mental Health)
500 FOOTHILL DRIVE
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
ALEXIS TOUGH RDN
Dietitian, Registered
500 FOOTHILL DRIVE
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MS. LUCY HALL LEAVER APRN
Nurse Practitioner (Family)
500 FOOTHILL DRIVE, SALT LAKE VA HOSPITAL,
SALT LAKE CITY, UT 84148
Salt Lake County (801) 584-1219
DR. PATRICK JOSEPH MILLER PH.D.
Psychologist (Clinical)
500 FOOTHILL DRIVE, VA SALT LAKE CITY HEALTH CARE SYSTEM
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565

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 Holly Martin's NPI number?

The NPI number for Holly Martin is 1114961927. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Holly Martin located?

Holly Martin practices at 500 Foothill Drive, Slc, UT 84148. The listed phone number is (801) 582-1565.

What is Holly Martin's specialty?

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

Is Holly Martin enrolled in Medicare?

Yes. Holly Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Holly Martin was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.