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LA TISHA MARTINEZ NP
NPI 1174367312
Nurse Practitioner in Albuquerque, NM

Active since June 22, 2024PECOS EnrolledAccepts Medicare Assignment
3825 EUBANK BLVD NE STE A, ALBUQUERQUE, NM 87111(052) 928-5755(505) 292-8409 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 10, 2025, Feb 4, 2025, Jun 22, 2024 (3 updates tracked since 2024).

About La Tisha Martinez Np NPPES

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

LA TISHA MARTINEZ NP (NPI 1174367312) is an individual nurse practitioner in Albuquerque, New Mexico, licensed in New Mexico (79563) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174367312
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLA TISHA MARTINEZCredential: NP
Location Address3825 EUBANK BLVD NE STE AAlbuquerque, NM 87111-3590
Mailing Address5900 Canyon Vista Dr NeAlbuquerque, NM 87111-6621 · (505) 400-0693
Phone(052) 928-5755
Fax(505) 292-8409
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 22, 2024
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1174367312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NM · 79563
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3825 EUBANK BLVD NE STE A, Albuquerque, NM 87111
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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

La Tisha Martinez Np 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 ID9032645940
PECOS Enrollment IDI20241216000044
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.

Medicare Billing Reassignments

2

Medicare enrollment records show La Tisha Martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine PC
Same address
Family Medicine
3825 EUBANK BLVD NE STE A
Albuquerque, NM 87111
  • Reassigned Medicare billing, New Mexico enrollment
  • 21 clinicians in this Medicare group
NPI 1083802029 (505) 292-8575
Bella Vida Health Care And Medi Spa
25 mi
Health Service
328 MAIN ST NE
Los Lunas, NM 87031
  • Reassigned Medicare billing, New Mexico enrollment
  • 16 clinicians in this Medicare group
NPI 1568704237 (505) 916-5167

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 87111 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 13

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

MRS. JESSIKA JUNICK NP-C
Nurse Practitioner (Family)
3825 EUBANK BLVD NE STE A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 292-8575
JENNIFER DUFFY FNP
Nurse Practitioner (Family)
3825 EUBANK BLVD NE STE A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 292-8575
ALEXIS CORINNE CHAVEZ
Nurse Practitioner (Family)
3825 EUBANK BLVD NE STE A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 292-8575
NICOLE SCRIBNER FNP-C
Nurse Practitioner
3825 EUBANK BLVD NE STE A
ALBUQUERQUE, NM 87111
Bernalillo County (800) 640-3451
FAMILY MEDICINE PC
Family Medicine
3825 EUBANK BLVD NE STE A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 292-8575
KARINA VIZCARRA
Nurse Practitioner (Family)
3825 EUBANK BLVD NE STE A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 292-8575
SHAYLEE A ABEYTA NP-C
Nurse Practitioner (Family)
3825 EUBANK BLVD NE STE A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 292-8575
MRS. AMANDA STRATMOEN NP
Nurse Practitioner
3825 EUBANK BLVD NE STE A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 292-8575

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 La Tisha Martinez's NPI number?

The NPI number for La Tisha Martinez is 1174367312. It was assigned to this individual provider in the NPPES registry on June 22, 2024.

Where is La Tisha Martinez located?

La Tisha Martinez practices at 3825 Eubank Blvd NE Ste A, Albuquerque, NM 87111. The listed phone number is (052) 928-5755.

What is La Tisha Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is La Tisha Martinez enrolled in Medicare?

Yes. La Tisha 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 La Tisha Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), La Tisha Martinez reassigns Medicare benefits to 2 organizations: Family Medicine PC (Albuquerque, NM) and Bella Vida Health Care And Medi Spa (Los Lunas, NM). 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 La Tisha 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 La Tisha Martinez was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.