SUSAN C MARTIN FNP-BC
NPI 1245227313
Nurse Practitioner - Primary Care in Jackson, TN

Q: What is Susan Martin's NPI number?

The NPI number for Susan Martin is 1245227313. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Q: What is Susan Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Susan Martin was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 04, 2005PECOS Enrolled

1385 S HIGHLAND AVE STE B1, JACKSON, TN 38301(314) 270-4707(731) 427-0995 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Jan 8, 2020 (2 updates tracked since 2020).

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About Susan C Martin Fnp-bc NPPES

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

SUSAN C MARTIN FNP-BC (NPI 1245227313) is an individual primary care provider in Jackson, Tennessee, licensed in Tennessee (APN11327) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245227313

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameSUSAN C MARTINCredential: FNP-BC

Location Address1385 S HIGHLAND AVE STE B1Jackson, TN 38301-7547

Mailing Address1385 S Highland Ave Ste B1Jackson, TN 38301-7547 · (314) 270-4707 · Fax (731) 427-0995

Phone(314) 270-4707

Fax(731) 427-0995

Sole ProprietorNo

Enumeration DateOctober 4, 2005

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2020

✔ NPI 1245227313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in TN · APN11327

1385 S HIGHLAND AVE STE B1, Jackson, TN 38301

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Other Identifiers 1

Medicaid3709355TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan C Martin Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$17.65 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims15 services$86.02 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

KIRKLAND STURGIS FNP-C

Nurse Practitioner (Family)