NICOLE L MARTIN APRN
NPI 1154092344
Nurse Practitioner - Adult Health in Southbury, CT

Active since September 27, 2021PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
30 QUAKER FARMS RD STE 1, SOUTHBURY, CT 06488(203) 262-9300(203) 264-2696 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2022, Sep 27, 2021 (2 updates tracked since 2021).

About Nicole L Martin Aprn NPPES

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

NICOLE L MARTIN APRN (NPI 1154092344) is an individual adult health provider in Southbury, Connecticut, licensed in Connecticut (11199) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1154092344
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameNICOLE L MARTINCredential: APRN
Location Address30 QUAKER FARMS RD STE 1Southbury, CT 06488-2732
Mailing Address67 Maple AveDerby, CT 06418-1328
Fax(203) 264-2696
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 27, 2021
Last NPPES UpdateNovember 9, 20222 updates tracked since enumeration
NPPES CertifiedNovember 9, 2022
NPI 1154092344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CT · 11199
30 QUAKER FARMS RD STE 1, Southbury, CT 06488

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

Nicole L Martin Aprn 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 ID547639155
PECOS Enrollment IDI20221202001794
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 5

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.

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.
105 services83 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.
65 services57 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
60 services51 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.
42 services41 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.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06488 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
53%59 patients3/55-star benchmark: 100%
Breast Cancer Screening
75%403 patients4/55-star benchmark: 93%
Cervical Cancer Screening
48%728 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
34%587 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
60%403 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
38%158 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%158 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,540 patients4/55-star benchmark: 100%
e-Prescribing
100%819 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
49%372 patients2/55-star benchmark: 100%
HIV Screening
13%1,282 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%1,420 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
65%1,088 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%1,712 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 82% · 1,397 patients
Patients screened: 89% · 1,396 patients
40%180 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
89%615 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
73%359 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 382 patients
Patients totalRate: 12% · 395 patients
11%395 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Family Medicine
30 QUAKER FARMS RD STE 1
SOUTHBURY, CT 06488
Nurse Practitioner (Adult Health)
30 QUAKER FARMS RD STE 1
SOUTHBURY, CT 06488
Internal Medicine
30 QUAKER FARMS RD STE 1
SOUTHBURY, CT 06488
Internal Medicine
30 QUAKER FARMS RD STE 1
SOUTHBURY, CT 06488
Internal Medicine (Pulmonary Disease)
30 QUAKER FARMS RD STE 1
SOUTHBURY, CT 06488
Physician Assistant
30 QUAKER FARMS RD STE 1
SOUTHBURY, CT 06488

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 Nicole Martin's NPI number?

The NPI number for Nicole Martin is 1154092344. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Nicole Martin located?

Nicole Martin practices at 30 Quaker Farms Rd Ste 1, Southbury, CT 06488. The listed phone number is (203) 262-9300.

What is Nicole Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Nicole Martin enrolled in Medicare?

Yes. Nicole 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.

When was this NPI record last updated?

The NPPES record for Nicole Martin was last updated on November 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.