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ELANIE DESHEA MARTENS FNP-BC
NPI 1124698204
Nurse Practitioner - Family in Clover, SC

Active since June 30, 2021PECOS Enrolled
3420 BRUCE RDG, CLOVER, SC 29710(417) 350-9775 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2026, Oct 28, 2022, Jul 28, 2021 and 1 more (4 updates tracked since 2021).

About Elanie Deshea Martens Fnp-bc NPPES

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

ELANIE DESHEA MARTENS FNP-BC (NPI 1124698204) is an individual family provider in Clover, South Carolina, licensed in South Carolina (30164) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Missouri Medical College (2021).

NPPES Registry Identity

NPI1124698204
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELANIE DESHEA MARTENSCredential: FNP-BC
Location Address3420 BRUCE RDGClover, SC 29710-6018
Mailing Address3420 Bruce RdgClover, SC 29710-6018
Phone(417) 350-9775
Sole ProprietorNo
Medical School CMSMissouri Medical CollegeGraduated 2021
Enumeration DateJune 30, 2021
Last NPPES UpdateApril 29, 20264 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1124698204 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 SC · 30164
3420 BRUCE RDG, Clover, SC 29710
Open in Google Maps ↗

Other Identifiers 1

Medicaid420098531MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elanie Deshea Martens Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113320433
PECOS Enrollment IDI20260618001388
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 29710 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 Elanie Martens's NPI number?

The NPI number for Elanie Martens is 1124698204. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Elanie Martens located?

Elanie Martens practices at 3420 Bruce Rdg, Clover, SC 29710. The listed phone number is (417) 350-9775.

What is Elanie Martens's specialty?

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

Is Elanie Martens enrolled in Medicare?

Yes. Elanie Martens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elanie Martens was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.