KENNY ROBERT DIAZ MARTINEZ FNP-C
NPI 1336939701
Nurse Practitioner - Family in Jacksonville, FL

Active since May 08, 2025PECOS EnrolledAccepts Medicare Assignment
858 MONUMENT RD STE A, JACKSONVILLE, FL 32225(904) 450-8060(904) 450-6969 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2025, May 8, 2025 (2 updates tracked since 2025).

About Kenny Robert Diaz Martinez Fnp-c NPPES

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

KENNY ROBERT DIAZ MARTINEZ FNP-C (NPI 1336939701) is an individual family provider in Jacksonville, Florida, licensed in Florida (11039295) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1336939701
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKENNY ROBERT DIAZ MARTINEZCredential: FNP-C
Location Address858 MONUMENT RD STE AJacksonville, FL 32225-6670
Mailing Address858 Monument Rd Ste AJacksonville, FL 32225-6670 · (904) 450-8060 · Fax (904) 450-6969
Fax(904) 450-6969
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 8, 2025
Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
NPI 1336939701 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 FL · 11039295
858 MONUMENT RD STE A, Jacksonville, FL 32225

Accepted Insurance

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

Kenny Robert Diaz 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 ID7113438565
PECOS Enrollment IDI20250613001389
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.

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32225 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

Family Medicine (Sports Medicine)
858 MONUMENT RD STE A
JACKSONVILLE, FL 32225

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 Kenny Diaz Martinez's NPI number?

The NPI number for Kenny Diaz Martinez is 1336939701. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Kenny Diaz Martinez located?

Kenny Diaz Martinez practices at 858 Monument Rd Ste A, Jacksonville, FL 32225. The listed phone number is (904) 450-8060.

What is Kenny Diaz Martinez's specialty?

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

Is Kenny Diaz Martinez enrolled in Medicare?

Yes. Kenny Diaz 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.

What insurance does Kenny Diaz Martinez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Kenny Diaz 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 Kenny Diaz Martinez affiliated with any hospitals?

According to CMS data, Kenny Diaz Martinez is affiliated with Ascension St Vincent's Riverside and Ascension St Vincent's Southside.

When was this NPI record last updated?

The NPPES record for Kenny Diaz Martinez was last updated on December 1, 2025. 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.