MATTIE NICHOLE MARTIN CRNA, MSN
NPI 1366099053
Nurse Anesthetist, Certified Registered in Lynchburg, VA
About Mattie Nichole Martin Crna, Msn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTIE NICHOLE MARTIN CRNA, MSN (NPI 1366099053) is an individual nurse anesthetist, certified registered in Lynchburg, Virginia, licensed in Virginia (0024190812) and active in the NPI registry since August 2019. She is affiliated with Centra Health - Lynchburg Gen Hospital and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Mattie Nichole Martin Crna, Msn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mattie Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lynchburg, VA 24501
- Reassigned Medicare billing, Virginia enrollment
- 757 clinicians in this Medicare group
Reading, PA 19608
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Centra Health - Lynchburg Gen Hospital
Acute Care Hospitals · Lynchburg, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LYNCHBURG, VA 24501
LYNCHBURG, VA 24501
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 Mattie Martin's NPI number?
The NPI number for Mattie Martin is 1366099053. It was assigned to this individual provider in the NPPES registry on August 19, 2019.
Where is Mattie Martin located?
Mattie Martin practices at 2401 Atherholt Rd, Lynchburg, VA 24501. The listed phone number is (434) 947-7700.
What is Mattie Martin's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mattie Martin enrolled in Medicare?
Yes. Mattie 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 Mattie Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mattie Martin reassigns Medicare benefits to 2 organizations: Centra Medical Group, LLC (Lynchburg, VA) and St Luke's Physician Group, Inc (Reading, PA). 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 Mattie Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mattie Martin affiliated with any hospitals?
According to CMS data, Mattie Martin is affiliated with Centra Health - Lynchburg Gen Hospital.
When was this NPI record last updated?
The NPPES record for Mattie Martin was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mattie Nichole Martin, CRNA, MSN · NPI 1366099053
Nurse Anesthetist, Certified Registered physician in Lynchburg, Virginia. Individual provider, active in the CMS NPPES registry since August 19, 2019.
## Identity
- **NPI:** 1366099053 (Entity type: Individual)
- **Enumerated:** August 19, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 0024190812 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2401 ATHERHOLT RD, Lynchburg, VA 24501-2184
- **Phone:** (434) 947-7700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Centra Medical Group, LLC (NPI 1184964124, Lynchburg, VA); St Luke's Physician Group, Inc (NPI 1144091802, Reading, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366099053) · Data from the CMS NPPES public registry.