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DR. ARLENE MARTINEZ DNP
NPI 1194500389
Nurse Practitioner - Family in San Antonio, TX

Active since August 28, 2023PECOS EnrolledAccepts Medicare Assignment
18626 HARDY OAK BLVD STE 300, SAN ANTONIO, TX 78258(210) 614-6432(210) 293-2989 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2025, May 7, 2024, Aug 28, 2023 (3 updates tracked since 2023).

About Dr. Arlene Martinez Dnp NPPES

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

DR. ARLENE MARTINEZ DNP (NPI 1194500389) is an individual family provider in San Antonio, Texas, licensed in Texas (1131628) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1194500389
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. ARLENE MARTINEZCredential: DNP
Location Address18626 HARDY OAK BLVD STE 300San Antonio, TX 78258-4228
Mailing Address9150 Huebner Rd Ste 290San Antonio, TX 78240-1598 · (210) 614-6432 · Fax (210) 293-2989
Phone(210) 614-6432
Fax(210) 293-2989
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 28, 2023
Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1194500389 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 TX · 1131628
18626 HARDY OAK BLVD STE 300, San Antonio, TX 78258
Open in Google Maps ↗

Secondary Practice Location 1

Location 110823 Town Center DrSan Antonio, TX 78251-4585 · Phone (210) 614-6432 · Fax (210) 293-2989

Other Identifiers 1

Medicaid1194500389TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Dr. Arlene Martinez Dnp 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 ID8022469667
PECOS Enrollment IDI20240109001126
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 Arlene Martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Texas Spinal Clinic, P.A.
Same address
Orthopaedic Surgery
18626 HARDY OAK BLVD STE 300
San Antonio, TX 78258
  • Reassigned Medicare billing, Texas enrollment
  • 22 clinicians in this Medicare group
NPI 1679506653 (210) 614-6432
Family Medicine Associates Of El Paso, PLLC
492 mi
Family Medicine
9398 VISCOUNT BLVD STE C
El Paso, TX 79925
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
NPI 1972505717 (915) 594-1033

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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Val Verde Regional Medical Center

Acute Care Hospitals · Del Rio, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450154
Location801 Bedell AveDel Rio, TX 78840 · Val Verde County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 14

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

JWJMDNM, PLLC
Psychiatry & Neurology (Clinical Neurophysiology)
18626 HARDY OAK BLVD STE 300
SAN ANTONIO, TX 78258
Bexar County (210) 598-4277
ALAINA C ARRINGDALE
Nurse Practitioner (Family)
18626 HARDY OAK BLVD STE 300
SAN ANTONIO, TX 78258
Bexar County (210) 614-6432
DR. GILBERT R MEADOWS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
18626 HARDY OAK BLVD STE 300
SAN ANTONIO, TX 78258
Bexar County (210) 495-9047
RALPH ZACHARY GARZA MD
Orthopaedic Surgery
18626 HARDY OAK BLVD STE 300
SAN ANTONIO, TX 78258
Bexar County (210) 495-9047
DR. JOEL W. JENNE M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
18626 HARDY OAK BLVD STE 300
SAN ANTONIO, TX 78258
Bexar County (210) 614-6432
SOUTH TEXAS SPINAL CLINIC, P.A.
Durable Medical Equipment & Medical Supplies
18626 HARDY OAK BLVD STE 300
SAN ANTONIO, TX 78258
Bexar County (210) 614-6432
MRS. JANE LAWHON SIMMONS MA, LPC
Counselor (Professional)
18626 HARDY OAK BLVD STE 300
SAN ANTONIO, TX 78258
Bexar County (210) 446-8111
JOEL I. EDIONWE M.D
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
18626 HARDY OAK BLVD STE 300
SAN ANTONIO, TX 78258
Bexar County (210) 614-6432

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 Arlene Martinez's NPI number?

The NPI number for Arlene Martinez is 1194500389. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Arlene Martinez located?

Arlene Martinez practices at 18626 Hardy Oak Blvd Ste 300, San Antonio, TX 78258. The listed phone number is (210) 614-6432.

What is Arlene Martinez's specialty?

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

Is Arlene Martinez enrolled in Medicare?

Yes. Arlene 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 Arlene Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arlene Martinez reassigns Medicare benefits to 2 organizations: South Texas Spinal Clinic, P.A. (San Antonio, TX) and Family Medicine Associates Of El Paso, PLLC (El Paso, TX). 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 Arlene Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arlene Martinez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Arlene Martinez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Arlene Martinez affiliated with any hospitals?

According to CMS data, Arlene Martinez is affiliated with Peterson Regional Medical Center and Val Verde Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Arlene Martinez was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.