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MS. HEIDI MARTINEZ FNP-C
NPI 1326569427
Nurse Practitioner - Family in Chandler, AZ

Active since June 29, 2017PECOS EnrolledAccepts Medicare Assignment
86.99/100
CMS Quality Rating
3974 S HUDSON PL, CHANDLER, AZ 85286(602) 885-3023 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 29, 2017 (2 updates tracked since 2017).

About Ms. Heidi Martinez Fnp-c NPPES

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

MS. HEIDI MARTINEZ FNP-C (NPI 1326569427) is an individual family provider in Chandler, Arizona, licensed in Arizona (AP10305) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1326569427
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. HEIDI MARTINEZCredential: FNP-C
Location Address3974 S HUDSON PLChandler, AZ 85286-2542
Mailing Address3974 S Hudson PlChandler, AZ 85286-2542 · (602) 885-3023
Phone(602) 885-3023
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 29, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1326569427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP10305
3974 S HUDSON PL, Chandler, AZ 85286
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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

Ms. Heidi Martinez Fnp-c 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 ID8426329236
PECOS Enrollment IDI20181001002194
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

3

Medicare enrollment records show Heidi Martinez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gila River Health Care Corporation
4.3 mi
Case Management
3042 W. QUEEN CREEK ROAD
Chandler, AZ 85286
  • Reassigned Medicare billing, Texas enrollment
  • 482 clinicians in this Medicare group
NPI 1629579230 (602) 528-1200
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm.
18 mi
Public Health or Welfare
10005 E OSBORN RD
Scottsdale, AZ 85256
  • Reassigned Medicare billing, Texas enrollment
  • 599 clinicians in this Medicare group
NPI 1093739740 (602) 263-1200
Banner Urgent Care Arizona LLC
26 mi
Urgent Care
1676 E MCMURRAY BLVD STE 1
Casa Grande, AZ 85122
  • Reassigned Medicare billing, Arizona enrollment
  • 171 clinicians in this Medicare group
NPI 1316349855 (520) 316-0688

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 3

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 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.
71 services64 patients
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.
38 services37 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85286 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

86.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.35
Promoting Interoperability88
Improvement Activities40
Cost53.95

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 Heidi Martinez's NPI number?

The NPI number for Heidi Martinez is 1326569427. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Heidi Martinez located?

Heidi Martinez practices at 3974 S Hudson Pl, Chandler, AZ 85286. The listed phone number is (602) 885-3023.

What is Heidi Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Heidi Martinez enrolled in Medicare?

Yes. Heidi 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 Heidi Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Martinez reassigns Medicare benefits to 3 organizations: Gila River Health Care Corporation (Chandler, AZ), Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. (Scottsdale, AZ) and Banner Urgent Care Arizona LLC (Casa Grande, AZ). 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 Heidi Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heidi Martinez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Heidi 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.

When was this NPI record last updated?

The NPPES record for Heidi Martinez was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.