MARCELA MARTINEZ FNP-C
NPI 1154899037
Nurse Practitioner - Family in Albany, TX

Active since November 08, 2018PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2021, Feb 28, 2019, Nov 30, 2018 and 1 more (4 updates tracked since 2018).

About Marcela Martinez Fnp-c NPPES

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

MARCELA MARTINEZ FNP-C (NPI 1154899037) is an individual family provider in Albany, Texas, licensed in Texas (AP139531) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Breckenridge, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154899037
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARCELA MARTINEZCredential: FNP-C
Location Address725 PATE STAlbany, TX 76430-3225
Mailing AddressPo Box 2435Albany, TX 76430-8020 · (325) 762-2447 · Fax (325) 893-4035
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 8, 2018
Last NPPES UpdateJune 1, 20214 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
NPI 1154899037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP139531
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP139531 (TX)
725 PATE ST, Albany, TX 76430

Secondary Practice Location 1

Location 12802 W Walker StBreckenridge, TX 76424-4000 · Phone (254) 559-7215 · Fax (325) 893-4035

Accepted Insurance

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

Marcela Martinez Fnp-c 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 ID5597000752
PECOS Enrollment IDI20181218000149
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 7

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.

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.
107 services42 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
103 services41 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
82 services32 patients
X-ray of abdomen, 2 views 74019
An X-ray of the abdomen, 2 views, is a non-invasive imaging test. It uses a small amount of radiation to capture pictures of the structures inside your belly. The two views provide different angles, helping doctors see your organs clearly and detect any issues.
55 services24 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
45 services29 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76430 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 10

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

Counselor (Professional)
725 PATE ST
ALBANY, TX 76430
Dentist (General Practice)
725 PATE ST
ALBANY, TX 76430
Clinic/Center (Federally Qualified Health Center (FQHC))
725 PATE ST
ALBANY, TX 76430
Nurse Practitioner (Family)
725 PATE ST
ALBANY, TX 76430
Nurse Practitioner (Psychiatric/Mental Health)
725 PATE ST
ALBANY, TX 76430
Counselor (Mental Health)
725 PATE ST
ALBANY, TX 76430
Nurse Practitioner (Family)
725 PATE ST
ALBANY, TX 76430
Nurse Practitioner (Psychiatric/Mental Health)
725 PATE ST
ALBANY, TX 76430

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 Marcela Martinez's NPI number?

The NPI number for Marcela Martinez is 1154899037. It was assigned to this individual provider in the NPPES registry on November 8, 2018.

Where is Marcela Martinez located?

Marcela Martinez practices at 725 Pate St, Albany, TX 76430. The listed phone number is (325) 762-2447.

What is Marcela Martinez's specialty?

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

Is Marcela Martinez enrolled in Medicare?

Yes. Marcela Martinez 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.

What insurance does Marcela Martinez accept?

Health plans from Blue Cross and Blue Shield of Texas list Marcela Martinez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marcela Martinez was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.