1. Home
  2. Directory
  3. Indiana
  4. Mishawaka
  5. Pediatrics
  6. NPI Profile

DR. MIKKI-ANN SIMONE MARTIN MD
NPI 1285298083
Pediatrics - Neonatal-Perinatal Medicine in Mishawaka, IN

Active since April 26, 2019PECOS Enrolled
5215 HOLY CROSS PKWY FL 4, MISHAWAKA, IN 46545(574) 335-4145 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Sep 7, 2022, Jun 19, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Mikki-ann Simone Martin Md NPPES

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

DR. MIKKI-ANN SIMONE MARTIN MD (NPI 1285298083) is an individual neonatal-perinatal medicine provider in Mishawaka, Indiana, licensed in Indiana (01096728A) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1285298083
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. MIKKI-ANN SIMONE MARTINCredential: MD
Location Address5215 HOLY CROSS PKWY FL 4Mishawaka, IN 46545-1469
Mailing Address5215 Holy Cross Pkwy Fl 4Mishawaka, IN 46545-1469 · (574) 335-4145
Phone(574) 335-4145
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 26, 2019
Last NPPES UpdateJuly 2, 20254 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1285298083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in IN · 01096728A✔ Licensed in MI · 4301506286
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
5215 HOLY CROSS PKWY FL 4, Mishawaka, IN 46545
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Dr. Mikki-ann Simone Martin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214312297
PECOS Enrollment IDI20250625003607
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.

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 Mikki-ann Martin's NPI number?

The NPI number for Mikki-ann Martin is 1285298083. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Where is Mikki-ann Martin located?

Mikki-ann Martin practices at 5215 Holy Cross Pkwy Fl 4, Mishawaka, IN 46545. The listed phone number is (574) 335-4145.

What is Mikki-ann Martin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mikki-ann Martin enrolled in Medicare?

Yes. Mikki-ann Martin is registered in the Medicare PECOS enrollment system.

What insurance does Mikki-ann Martin accept?

Health plans from CareSource list Mikki-ann 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 Mikki-ann Martin was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.