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MS. DENISE MARTINEZ CRNP
NPI 1225380447
Nurse Practitioner in Allentown, PA

Active since October 11, 2012PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
5018 MEDICAL CENTER CIR, SUITE 240, ALLENTOWN, PA 18106(484) 876-5649 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2016, Mar 2, 2016 (2 updates tracked since 2016).

About Ms. Denise Martinez Crnp NPPES

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

MS. DENISE MARTINEZ CRNP (NPI 1225380447) is an individual nurse practitioner in Allentown, Pennsylvania, licensed in Pennsylvania (SP012316) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1225380447
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. DENISE MARTINEZCredential: CRNP
Location Address5018 MEDICAL CENTER CIR, SUITE 240Allentown, PA 18106-9661
Mailing Address5018 Medical Center Cir, Suite 240Allentown, PA 18106-9661 · (484) 876-5649
Phone(484) 876-5649
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 11, 2012
Last NPPES UpdateNovember 1, 20162 updates tracked since enumeration
✔ NPI 1225380447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP012316
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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License SP012316 (PA)
5018 MEDICAL CENTER CIR, Allentown, PA 18106
Open in Google Maps ↗

Other Identifiers 4

Other50113665PA · Capital Blue Cross
Medicaid103181145 0001PA
Other261399FRHPA · Medicare Ptan
Medicare PIN126650

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

Ms. Denise Martinez Crnp 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 ID1850544412
PECOS Enrollment IDI20130109000597
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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
66 services60 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients
Complicated insertion of bladder tube 51703
This procedure involves placing a tube into your bladder to help with urine flow. It may be needed if you have trouble urinating naturally. The process requires specialized skill due to certain complexities but is done with utmost care for your comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390162
Location250 South 21st StreetEaston, PA 18042 · Northampton County
Emergency services

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18106 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

DR. BRIAN P MURPHY MD
Urology
5018 MEDICAL CENTER CIR, SUITE 101B
ALLENTOWN, PA 18106
Lehigh County (484) 876-5649
DR. PAUL M BERGER MD
Urology
5018 MEDICAL CENTER CIR, SUITE 240
ALLENTOWN, PA 18106
Lehigh County (484) 876-5649
ARTHUR E FETZER MD
Urology
5018 MEDICAL CENTER CIR
ALLENTOWN, PA 18106
Lehigh County (610) 432-7760
UROLOGY SPECIALISTS OF THE LEHIGH VALLEY PC
Urology
5018 MEDICAL CENTER CIR, SUITE 240
ALLENTOWN, PA 18106
Lehigh County (484) 876-5649
DEBRA A KRAMER CRNP
Nurse Practitioner
5018 MEDICAL CENTER CIR, SUITE 240
ALLENTOWN, PA 18106
Lehigh County (484) 876-5649
UROLOGY SPECIALISTS OF THE LEHIGH VALLEY, PC
Non-Pharmacy Dispensing Site
5018 MEDICAL CENTER CIR, SUITE 101B
ALLENTOWN, PA 18106
Lehigh County (484) 876-5649
PREMIER PHYSICAL THERAPY, INC
Clinic/Center (Physical Therapy)
5018 MEDICAL CENTER CIR
ALLENTOWN, PA 18106
Lehigh County (267) 639-2555
MINDI JOAN SHERER FNP-C
Nurse Practitioner (Family)
5018 MEDICAL CENTER CIR
ALLENTOWN, PA 18106
Lehigh County (484) 526-2598

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 Denise Martinez's NPI number?

The NPI number for Denise Martinez is 1225380447. It was assigned to this individual provider in the NPPES registry on October 11, 2012.

Where is Denise Martinez located?

Denise Martinez practices at 5018 Medical Center Cir Suite 240, Allentown, PA 18106. The listed phone number is (484) 876-5649.

What is Denise Martinez's specialty?

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

Is Denise Martinez enrolled in Medicare?

Yes. Denise 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.

Is Denise Martinez affiliated with any hospitals?

According to CMS data, Denise Martinez is affiliated with St Luke's Hospital Bethlehem, St Luke's Hospital - Easton Campus, St Luke's Miners Memorial Hospital and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Denise Martinez was last updated on November 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.