MARY MARTIN AGACNP-BC
NPI 1275060907
Nurse Practitioner - Acute Care in Saint Louis, MO

Active since May 12, 2017PECOS EnrolledAccepts Medicare Assignment
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141(636) 237-4132 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mary Martin Agacnp-bc NPPES

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

MARY MARTIN AGACNP-BC (NPI 1275060907) is an individual acute care provider in Saint Louis, Missouri, licensed in Missouri (2017008673) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275060907
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMARY MARTINCredential: AGACNP-BC
Location Address615 S NEW BALLAS RDSaint Louis, MO 63141-8221
Mailing Address615 South New BallasSt. Louis, MO 63143 · (314) 974-6874
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 12, 2017
NPI 1275060907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MO · 2017008673
615 S NEW BALLAS RD, Saint Louis, MO 63141

Accepted Insurance

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

Mary Martin Agacnp-bc 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 ID4981026200
PECOS Enrollment IDI20200615002469
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

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Dentist
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Psychiatric/Mental Health)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141

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 Mary Martin's NPI number?

The NPI number for Mary Martin is 1275060907. It was assigned to this individual provider in the NPPES registry on May 12, 2017.

Where is Mary Martin located?

Mary Martin practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (636) 237-4132.

What is Mary Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mary Martin enrolled in Medicare?

Yes. Mary Martin 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.

What insurance does Mary Martin accept?

Health plans from Medica list Mary Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Martin was last updated on May 12, 2017. 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.