MABEL MARTIN MARTINEZ APRN-CNP
NPI 1164315461
Nurse Practitioner - Family in Louisville, KY
About Mabel Martin Martinez Aprn-cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MABEL MARTIN MARTINEZ APRN-CNP (NPI 1164315461) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (4038644) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mabel Martin Martinez Aprn-cnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mabel Martin Martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, KY 40243
- Reassigned Medicare billing, Kentucky enrollment
- 47 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Kentucky enrollment
- 118 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40207
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 Mabel Martin Martinez's NPI number?
The NPI number for Mabel Martin Martinez is 1164315461. It was assigned to this individual provider in the NPPES registry on June 3, 2025.
Where is Mabel Martin Martinez located?
Mabel Martin Martinez practices at 4350 Brownsboro Rd Ste 200, Louisville, KY 40207. The listed phone number is (502) 244-2420.
What is Mabel Martin Martinez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mabel Martin Martinez enrolled in Medicare?
Yes. Mabel Martin 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.
Which organizations bill Medicare for Mabel Martin Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mabel Martin Martinez reassigns Medicare benefits to 2 organizations: 360care Services Of Kentucky LLC (Louisville, KY) and Community Care Health Network LLC (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mabel Martin Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mabel Martin Martinez was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mabel Martin Martinez, APRN-CNP · NPI 1164315461
Family physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since June 3, 2025.
## Identity
- **NPI:** 1164315461 (Entity type: Individual)
- **Enumerated:** June 3, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4038644 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4350 BROWNSBORO RD STE 200, Louisville, KY 40207-1681
- **Phone:** (502) 244-2420
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): 360care Services Of Kentucky LLC (NPI 1174394852, Louisville, KY); Community Care Health Network LLC (NPI 1619368842, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164315461) · Data from the CMS NPPES public registry.