DEIRDRA V MARTIN CRNP
NPI 1356933360
Nurse Practitioner - Family in Maxwell Afb, AL

Active since February 10, 2021PECOS EnrolledAccepts Medicare Assignment
94.05/100
CMS Quality Rating
300 S. TWINING STREET, BLDG 760, MAXWELL AFB, AL 36112(334) 953-5200(334) 953-8607 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2026, Feb 14, 2023, Feb 10, 2021 (3 updates tracked since 2021).

About Deirdra V Martin Crnp NPPES

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

DEIRDRA V MARTIN CRNP (NPI 1356933360) is an individual family provider in Maxwell Afb, Alabama, licensed in Alabama (1-149010) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356933360
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEIRDRA V MARTINCredential: CRNP
Location Address300 S. TWINING STREET, BLDG 760Maxwell Afb, AL 36112-6219
Mailing Address300 South Twining Street, Bldg 760Maxwell Afb, AL 36112-6219 · (334) 953-5200 · Fax (334) 953-8607
Fax(334) 953-8607
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 10, 2021
Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1356933360 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 AL · 1-149010
300 S. TWINING STREET, BLDG 760, Maxwell Afb, AL 36112

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

Deirdra V Martin Crnp 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 ID4587050711
PECOS Enrollment IDI20220415000019
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 Deirdra Martin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
4305 ATLANTA HWY
Montgomery, AL 36109
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
Interventional Pain Medicine
2065 E. S. BLVD., STE. 401
Montgomery, AL 36116
  • Reassigned Medicare billing, Alabama enrollment
  • 64 clinicians in this Medicare group
Primary Care
1500 GOVERNMENT ST STE A
Mobile, AL 36604
  • Reassigned Medicare billing, Alabama enrollment
  • 13 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36112 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

94.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability93
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
300 S. TWINING STREET, BLDG 760
MONTGOMERY, AL 36112
Dentist
300 S. TWINING STREET, BLDG 760, 42D MEDICAL GROUP
MAXWELL AFB, AL 36112

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 Deirdra Martin's NPI number?

The NPI number for Deirdra Martin is 1356933360. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Where is Deirdra Martin located?

Deirdra Martin practices at 300 S. Twining Street, Bldg 760, Maxwell Afb, AL 36112. The listed phone number is (334) 953-5200.

What is Deirdra Martin's specialty?

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

Is Deirdra Martin enrolled in Medicare?

Yes. Deirdra Martin 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 Deirdra Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deirdra Martin reassigns Medicare benefits to 3 organizations: American Family Care, LLC (Montgomery, AL), The Center For Pain Of Montgomery LLC (Montgomery, AL) and Sage Health Alabama LLC (Mobile, AL). 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 Deirdra Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deirdra Martin was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.