HEATHER A MARTIN PNP
NPI 1235457532
Nurse Practitioner - Pediatrics in Rochester, NY

Active since May 11, 2010PECOS Enrolled
601 ELMWOOD AVE, BOX 655-BILLING, ROCHESTER, NY 14642(585) 784-2971 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heather A Martin Pnp NPPES

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

HEATHER A MARTIN PNP (NPI 1235457532) is an individual pediatrics provider in Rochester, New York, licensed in New York (F381628-1) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235457532
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameHEATHER A MARTINCredential: PNP
Location Address601 ELMWOOD AVE, BOX 655-BILLINGRochester, NY 14642-0001
Mailing Address1525 Oak Openings RdAvon, NY 14414-9419 · (585) 438-4171
Sole ProprietorNo
Enumeration DateMay 11, 2010
Last NPPES UpdateJuly 6, 2023
✔ NPI 1235457532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in NY · F381628-1✔ Licensed in NY · 381628
601 ELMWOOD AVE, Rochester, NY 14642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather A Martin Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Heather Martin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Care
601 ELMWOOD AVE, BOX 655
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 197 clinicians in this Medicare group
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
Urgent Care
1300 JEFFERSON RD, SUITE 100
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 112 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

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 Heather Martin's NPI number?

The NPI number for Heather Martin is 1235457532. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Heather Martin located?

Heather Martin practices at 601 Elmwood Ave Box 655-Billing, Rochester, NY 14642. The listed phone number is (585) 784-2971.

What is Heather Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Heather Martin enrolled in Medicare?

Yes. Heather Martin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Martin reassigns Medicare benefits to 3 organizations: Emergency Associates - University Of Rochester (Rochester, NY), University Of Rochester (Rochester, NY) and University Of Rochester Urgent Care (Rochester, NY). 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 Heather 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 Heather Martin was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.