ETHEL DE JESUS MARTINEZ
NPI 1306359294
Nurse Practitioner - Family in Winnetka, CA

Q: What is Ethel Martinez's NPI number?

The NPI number for Ethel Martinez is 1306359294. It was assigned to this individual provider in the NPPES registry on November 14, 2017.

Q: What is Ethel Martinez'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 Ethel Martinez was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 14, 2017PECOS EnrolledAccepts Medicare Assignment

20800 SHERMAN WAY, WINNETKA, CA 91306(818) 967-0148 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Mar 6, 2018, Dec 13, 2017 and 1 more (4 updates tracked since 2017).

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About Ethel De Jesus Martinez NPPES

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

ETHEL DE JESUS MARTINEZ (NPI 1306359294) is an individual family provider in Winnetka, California, licensed in California (95008170) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Winnetka, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306359294

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameETHEL DE JESUS MARTINEZ

Location Address20800 SHERMAN WAYWinnetka, CA 91306-2707

Mailing Address8902 Woodman AveArleta, CA 91331-6401

Phone(818) 967-0148

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 14, 2017

Last NPPES UpdateMarch 17, 20184 updates tracked since enumeration

✔ NPI 1306359294 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 CA · 95008170

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

20800 SHERMAN WAY, Winnetka, CA 91306

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Secondary Practice Location 1

Location 120800 Sherman WayWinnetka, CA 91306-2707 · Phone (818) 967-0148

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

Ethel De Jesus Martinez 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 ID3375807324

PECOS Enrollment IDI20180430000457

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

31 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91306 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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