BRENT A MARTIN APNP
NPI 1265940365
Nurse Practitioner - Family in Appleton, WI

Q: What is Brent Martin's NPI number?

The NPI number for Brent Martin is 1265940365. It was assigned to this individual provider in the NPPES registry on January 11, 2018.

Q: What is Brent Martin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brent Martin was last updated on March 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 11, 2018PECOS Enrolled

2809 N PARK DRIVE LN, APPLETON, WI 54911(920) 380-4999(920) 380-4961 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2018, Jan 11, 2018 (2 updates tracked since 2018).

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About Brent A Martin Apnp NPPES

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

BRENT A MARTIN APNP (NPI 1265940365) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (8290) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265940365

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBRENT A MARTINCredential: APNP

Location Address2809 N PARK DRIVE LNAppleton, WI 54911-1603

Mailing Address122 E College AveAppleton, WI 54911-5794 · (920) 996-3264 · Fax (920) 830-5970

Phone(920) 380-4999

Fax(920) 380-4961

Sole ProprietorNo

Enumeration DateJanuary 11, 2018

Last NPPES UpdateMarch 16, 20182 updates tracked since enumeration

✔ NPI 1265940365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in WI · 8290

Also ListedRegistered NurseTaxonomy 163W00000X · License 201119 (WI)

2809 N PARK DRIVE LN, Appleton, WI 54911

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare).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)

Brent A Martin Apnp 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 54911 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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Other Providers at the Same Location NPPES 18

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

MICHELLE A WILKE LPC

Counselor (Professional)