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MRS. EVAN KELLER MARTIN PA-C
NPI 1134469265
Physician Assistant in Bowling Green, OH

Active since February 27, 2013PECOS Enrolled
1037 CONNEAUT AVE, SUITE 201, BOWLING GREEN, OH 43402(419) 373-6046(419) 352-9048 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Evan Keller Martin Pa-c NPPES

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

MRS. EVAN KELLER MARTIN PA-C (NPI 1134469265) is an individual physician assistant in Bowling Green, Ohio, licensed in Ohio (50.001611) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134469265
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. EVAN KELLER MARTINCredential: PA-C
Location Address1037 CONNEAUT AVE, SUITE 201Bowling Green, OH 43402-5301
Mailing Address1037 Conneaut Ave, Suite 201Bowling Green, OH 43402-5301 · (419) 373-6046 · Fax (419) 352-9048
Phone(419) 373-6046
Fax(419) 352-9048
Sole ProprietorYes
Enumeration DateFebruary 27, 2013
✔ NPI 1134469265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.001611
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1037 CONNEAUT AVE, Bowling Green, OH 43402
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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)

Mrs. Evan Keller Martin Pa-c 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 43402 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 6

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

WILLIAM I DILLON M.D.
Dermatology
1037 CONNEAUT AVE, SUITE 201
BOWLING GREEN, OH 43402
Wood County (419) 373-6046
DCA OF TOLEDO LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1037 CONNEAUT AVE
BOWLING GREEN, OH 43402
Wood County (419) 353-1080
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC
Internal Medicine (Cardiovascular Disease)
1037 CONNEAUT AVE, SUITE 202
BOWLING GREEN, OH 43402
Wood County (419) 354-0104
ANDREA RAE BARNETTE NP-C
Nurse Practitioner (Family)
1037 CONNEAUT AVE
BOWLING GREEN, OH 43402
Wood County (419) 353-6225
DILLON DERMATOLOGY LLC
Dermatology
1037 CONNEAUT AVE, SUITE 201
BOWLING GREEN, OH 43402
Wood County (419) 373-6046
DAVID WAYNE BELL MD
Family Medicine
1037 CONNEAUT AVE, SUITE 206
BOWLING GREEN, OH 43402
Wood County (419) 353-6225

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 Evan Martin's NPI number?

The NPI number for Evan Martin is 1134469265. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Evan Martin located?

Evan Martin practices at 1037 Conneaut Ave Suite 201, Bowling Green, OH 43402. The listed phone number is (419) 373-6046.

What is Evan Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Evan Martin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Evan Martin was last updated on February 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.