LETICIA A LUKETICH MARTINEZ CNP
NPI 1205327715
Nurse Practitioner - Family in Espanola, NM

Q: What is Leticia Luketich Martinez's NPI number?

The NPI number for Leticia Luketich Martinez is 1205327715. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Q: What is Leticia Luketich Martinez's specialty?

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

Active since May 21, 2018PECOS EnrolledAccepts Medicare Assignment

2010 INDUSTRIAL PARK RD, ESPANOLA, NM 87532(505) 753-7218(505) 747-7396 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Leticia A Luketich Martinez Cnp NPPES

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

LETICIA A LUKETICH MARTINEZ CNP (NPI 1205327715) is an individual family provider in Espanola, New Mexico, licensed in New Mexico (CNP-03536) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205327715

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLETICIA A LUKETICH MARTINEZCredential: CNP

Location Address2010 INDUSTRIAL PARK RDEspanola, NM 87532-3600

Mailing AddressPo Box 158Espanola, NM 87532-0158 · (505) 753-7218 · Fax (505) 747-7396

Phone(505) 753-7218

Fax(505) 747-7396

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 21, 2018

✔ NPI 1205327715 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 NM · CNP-03536

2010 INDUSTRIAL PARK RD, Espanola, NM 87532

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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

Leticia A Luketich Martinez Cnp 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 ID1254696628

PECOS Enrollment IDI20180606000847

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 87532 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 20

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

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