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MRS. DONNA O MARTINEZ ARNP
NPI 1245712686
Nurse Practitioner - Adult Health in Miami, FL

Active since September 01, 2018PECOS EnrolledAccepts Medicare Assignment
16543 SW 59TH TER, MIAMI, FL 33193(305) 785-3481 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2020, Sep 1, 2018 (2 updates tracked since 2018).

About Mrs. Donna O Martinez Arnp NPPES

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

MRS. DONNA O MARTINEZ ARNP (NPI 1245712686) is an individual adult health provider in Miami, Florida, licensed in Florida (ARNP9291239) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245712686
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. DONNA O MARTINEZCredential: ARNP
Location Address16543 SW 59TH TERMiami, FL 33193-5686
Mailing Address16543 Sw 59 TerraceMiami, FL 33193 · (305) 785-3481
Phone(305) 785-3481
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 1, 2018
Last NPPES UpdateOctober 14, 20202 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
✔ NPI 1245712686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · ARNP9291239
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License ARNP9291239 (FL)
16543 SW 59TH TER, Miami, FL 33193
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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

Mrs. Donna O Martinez Arnp 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 ID6709206428
PECOS Enrollment IDI20201020000355
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 Reassignment

Medicare enrollment records show Donna Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alfredo Melgar, MD PA
8.0 mi
General Practice
9090 SW 87TH CT STE 104
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1891047742 (305) 223-2436

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 33193 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers18 claims504 services$5.09 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers21 claims9,704 services$0.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Donna Martinez's NPI number?

The NPI number for Donna Martinez is 1245712686. It was assigned to this individual provider in the NPPES registry on September 1, 2018.

Where is Donna Martinez located?

Donna Martinez practices at 16543 SW 59th Ter, Miami, FL 33193. The listed phone number is (305) 785-3481.

What is Donna Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Donna Martinez enrolled in Medicare?

Yes. Donna 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 organization bills Medicare for Donna Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Martinez reassigns Medicare benefits to Alfredo Melgar, MD PA (Miami, FL). The 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 Donna Martinez'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 Donna Martinez was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.