MR. CLYDE DONALD MARTIN JR. CRNA
NPI 1184604670
Nurse Anesthetist, Certified Registered in Manchester, NH
About Mr. Clyde Donald Martin Jr. Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CLYDE DONALD MARTIN JR. CRNA (NPI 1184604670) is an individual nurse anesthetist, certified registered in Manchester, New Hampshire, licensed in North Carolina (4017) and active in the NPI registry since January 2006.
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 (PECOS)
Mr. Clyde Donald Martin Jr. Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Clyde Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wake Forest, NC 27587
- Reassigned Medicare billing, North Carolina enrollment
- 652 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.
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
MANCHESTER, NH 03102
MANCHESTER, NH 03102
MANCHESTER, NH 03102
MANCHESTER, NH 03102
MANCHESTER, NH 03102
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 Clyde Martin's NPI number?
The NPI number for Clyde Martin is 1184604670. It was assigned to this individual provider in the NPPES registry on January 19, 2006.
Where is Clyde Martin located?
Clyde Martin practices at 87 Mcgregor St Ste. 1400, Manchester, NH 03102. The listed phone number is (603) 647-9325.
What is Clyde Martin's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Clyde Martin enrolled in Medicare?
Yes. Clyde Martin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Clyde Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clyde Martin reassigns Medicare benefits to American Anesthesiology Of North Carolina, PLLC (Wake Forest, NC). 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 Clyde 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 Clyde Martin was last updated on June 4, 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.