STACY A MARTIN APRN
NPI 1174132435
Nurse Practitioner - Family in Chattahoochee, FL
About Stacy A Martin Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY A MARTIN APRN (NPI 1174132435) is an individual family provider in Chattahoochee, Florida, licensed in Florida (APRN11008224) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
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
Stacy A 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.
Medicare Billing Reassignment
Medicare enrollment records show Stacy Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chattahoochee, FL 32324
- Reassigned Medicare billing, Florida enrollment
- 89 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 32324 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHATTAHOOCHEE, FL 32324
CHATTAHOOCHEE, FL 32324
CHATTAHOOCHEE, FL 32324
CHATTAHOOCHEE, FL 32324
CHATTAHOOCHEE, FL 32324
CHATTAHOOCHEE, FL 32324
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 Stacy Martin's NPI number?
The NPI number for Stacy Martin is 1174132435. It was assigned to this individual provider in the NPPES registry on July 23, 2020.
Where is Stacy Martin located?
Stacy Martin practices at 100 N Main St, Chattahoochee, FL 32324. The listed phone number is (850) 793-6863.
What is Stacy Martin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacy Martin enrolled in Medicare?
Yes. Stacy 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.
Which organization bills Medicare for Stacy Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Martin reassigns Medicare benefits to Florida Department Of Children And Families (Chattahoochee, FL). The 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 Stacy Martin'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 Stacy Martin was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Stacy A Martin, APRN · NPI 1174132435
Family physician in Chattahoochee, Florida. Individual provider, active in the CMS NPPES registry since July 23, 2020.
## Identity
- **NPI:** 1174132435 (Entity type: Individual)
- **Enumerated:** July 23, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11008224 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 N MAIN ST, Chattahoochee, FL 32324-1107
- **Phone:** (850) 793-6863
## 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:** Florida Department Of Children And Families (NPI 1578895470, Chattahoochee, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 29, 2024
- **Other identifiers:** Medicaid 107516500 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1174132435) · Data from the CMS NPPES public registry.