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MIGUEL ADRIAN MARTINEZ
NPI 1326507740
Nurse Practitioner in El Paso, TX

Active since March 15, 2019PECOS EnrolledAccepts Medicare Assignment
75.95/100
CMS Quality Rating
2600 N OREGON ST, EL PASO, TX 79902(915) 317-1660 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 28, 2023, Apr 14, 2021, Mar 15, 2019 (3 updates tracked since 2019).

About Miguel Adrian Martinez NPPES

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

MIGUEL ADRIAN MARTINEZ (NPI 1326507740) is an individual nurse practitioner in El Paso, Texas, licensed in Texas (AP140969) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with The Hospitals Of Providence - East Campus, and maintains a secondary practice location in El Paso.

NPPES Registry Identity

NPI1326507740
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMIGUEL ADRIAN MARTINEZ
Location Address2600 N OREGON STEl Paso, TX 79902-3170
Mailing Address2600 N Oregon StEl Paso, TX 79902-3170 · (915) 317-1660
Phone(915) 317-1660
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 15, 2019
Last NPPES UpdateFebruary 18, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
✔ NPI 1326507740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP140969
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2600 N OREGON ST, El Paso, TX 79902
Open in Google Maps ↗

Secondary Practice Location 1

Location 12270 Joe Battle Blvd Ste PEl Paso, TX 79938-2610 · Phone (915) 317-1660

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miguel Adrian 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 ID1456730548
PECOS Enrollment IDI20220621000544
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Miguel Martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Arthritis Center, PA
Same address
Rheumatology
2600 N OREGON ST
El Paso, TX 79902
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1548742349 (915) 317-1660
American Arthritis & Rheumatology Associates-Tx PLLC
555 mi
Rheumatology
5009 HERITAGE AVE
Colleyville, TX 76034
  • Reassigned Medicare billing, Texas enrollment
  • 25 clinicians in this Medicare group
NPI 1639521859 (817) 590-0880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
27 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Hospitals Of Providence - East Campus

Acute Care Hospitals · El Paso, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670047
Location3280 Joe Battle BlvdEl Paso, TX 79938 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79902 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.91
Improvement Activities40
Cost53.28

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.

OREGON IMAGING, LP
Clinic/Center (Radiology)
2600 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 544-5550
HEATHER LYNNE WHITE FNP-C
Nurse Practitioner
2600 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 317-1660
JENNY CHAU PMHNP-BC
Nurse Practitioner
2600 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 317-1660
MS. YADIRA IVONNE CABRERA FNP-BC
Nurse Practitioner
2600 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 317-1660
NICOLE NELSON APRN
Nurse Practitioner
2600 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 317-1660
SANJAY CHABRA D.O.
Internal Medicine (Rheumatology)
2600 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 317-1660
JACLYN GRACE GELABERT PA
Physician Assistant
2600 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 317-1660
MRS. PERLA A RETANA-BROWN PA-C
Physician Assistant (Medical)
2600 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 317-1660

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 Miguel Martinez's NPI number?

The NPI number for Miguel Martinez is 1326507740. It was assigned to this individual provider in the NPPES registry on March 15, 2019.

Where is Miguel Martinez located?

Miguel Martinez practices at 2600 N Oregon St, El Paso, TX 79902. The listed phone number is (915) 317-1660.

What is Miguel Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Miguel Martinez enrolled in Medicare?

Yes. Miguel Martinez 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.

Which organizations bill Medicare for Miguel Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Martinez reassigns Medicare benefits to 2 organizations: Texas Arthritis Center, PA (El Paso, TX) and American Arthritis & Rheumatology Associates-Tx PLLC (Colleyville, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miguel Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miguel Martinez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Miguel Martinez 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.

Is Miguel Martinez affiliated with any hospitals?

According to CMS data, Miguel Martinez is affiliated with The Hospitals Of Providence - East Campus.

When was this NPI record last updated?

The NPPES record for Miguel Martinez was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.