JACQUELINE C MARTIN APRN
NPI 1306180542
Nurse Practitioner - Psychiatric/Mental Health in Kensington, CT

Q: What is Jacqueline Martin's NPI number?

The NPI number for Jacqueline Martin is 1306180542. It was assigned to this individual provider in the NPPES registry on November 10, 2012. The provider is also known as Jacqueline C Ercole Aprn.

Q: What is Jacqueline Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Martin was last updated on May 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 10, 2012PECOS EnrolledAccepts Medicare Assignment

26 CHAMBERLAIN HWY, KENSINGTON, CT 06037(860) 893-0040(860) 893-0046 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2021, Aug 21, 2019 (2 updates tracked since 2019).

On this page

About Jacqueline C Martin Aprn NPPES

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

JACQUELINE C MARTIN APRN (NPI 1306180542) is an individual psychiatric/mental health provider in Kensington, Connecticut, licensed in Connecticut (005215) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1306180542

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJACQUELINE C MARTINCredential: APRN

Location Address26 CHAMBERLAIN HWYKensington, CT 06037-1921

Mailing Address26 Chamberlain HwyKensington, CT 06037-1921 · (860) 893-0040 · Fax (860) 893-0046

Phone(860) 893-0040

Fax(860) 893-0046

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateNovember 10, 2012

Last NPPES UpdateMay 26, 20212 updates tracked since enumeration

NPPES CertifiedMay 26, 2021

✔ NPI 1306180542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CT · 005215

26 CHAMBERLAIN HWY, Kensington, CT 06037

Open in Google Maps ↗

Other Names 1

Former Name (1)Jacqueline C Ercole Aprn

Other Identifiers 1

Medicaid008042980CT

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

Jacqueline C Martin Aprn 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 ID9830342476

PECOS Enrollment IDI20130110000527

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

56 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06037 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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 17

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

PARAGON BEHAVIORAL HEALTH, LLC

Psychiatry & Neurology (Psychiatry)