STACY A MARTIN APRN
NPI 1174132435
Nurse Practitioner - Family in Chattahoochee, FL

Q: 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.

Q: What is Stacy Martin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Martin was last updated on February 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 23, 2020PECOS EnrolledAccepts Medicare Assignment

100 N MAIN ST, CHATTAHOOCHEE, FL 32324(850) 793-6863 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2021, Sep 2, 2020, Jul 23, 2020 (3 updates tracked since 2020).

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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

NPI1174132435

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACY A MARTINCredential: APRN

Location Address100 N MAIN STChattahoochee, FL 32324-1107

Mailing Address100 N Main StChattahoochee, FL 32324-1107 · (850) 793-6863 · Fax (850) 663-1345

Phone(850) 793-6863

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 23, 2020

Last NPPES UpdateFebruary 29, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 29, 2024

✔ NPI 1174132435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11008224

100 N MAIN ST, Chattahoochee, FL 32324

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Secondary Practice Locations 3

Location 11798 Georgia StAlford, FL 32420-6800 · Phone (850) 526-6727 · Fax (850) 526-1027

Location 24296 5th AveMarianna, FL 32446-2173 · Phone (850) 482-2061 · Fax (850) 633-5911

Location 34896 Highway 90 Ste AMarianna, FL 32446-7840 · Phone (850) 526-6700 · Fax (850) 526-6701

Other Identifiers 1

Medicaid107516500FL

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

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.

PECOS PAC ID1850719733

PECOS Enrollment IDI20200909000762

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 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.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

PRANEE - EMKO M.D.

Internal Medicine