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MARY M MARTINDALE NP
NPI 1376279810
Nurse Practitioner - Family in Petaluma, CA

Active since July 27, 2022PECOS EnrolledAccepts Medicare Assignment
1383 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 308-2840 Get Directions Write a Review

NPPES record last updated: August 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2025, Feb 13, 2023, Jul 27, 2022 (3 updates tracked since 2022).

About Mary M Martindale Np NPPES

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

MARY M MARTINDALE NP (NPI 1376279810) is an individual family provider in Petaluma, California, licensed in California (NP95021783) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1376279810
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY M MARTINDALECredential: NP
Location Address1383 N MCDOWELL BLVDPetaluma, CA 94954-1187
Mailing Address1383 N Mcdowell BlvdPetaluma, CA 94954-1187 · (707) 308-2840
Phone(707) 308-2840
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 27, 2022
Last NPPES UpdateAugust 10, 20253 updates tracked since enumeration
NPPES CertifiedAugust 10, 2025
✔ NPI 1376279810 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 CA · NP95021783
1383 N MCDOWELL BLVD, Petaluma, CA 94954
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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

Mary M Martindale Np 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 ID2466825153
PECOS Enrollment IDI20231102001294
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.

Areas of Expertise CMS Part B claims 5

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.
114 services94 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.
113 services82 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
18 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94954 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

Other Providers at the Same Location NPPES 8

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

NORTHERN CALIFORNIA MEDICAL ASSOC INC
Ophthalmology
1383 N MCDOWELL BLVD, STE 100
PETALUMA, CA 94954
Sonoma County (707) 763-6400
NORTH BAY ENDOSCOPY CENTER LLC
Clinic/Center (Ambulatory Surgical)
1383 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 938-9685
KENNETH MICHAEL PITERS M.D.
Anesthesiology
1383 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 544-7331
KIMBERLY J SOMMERHAUG NP, MSN
Nurse Practitioner (Family)
1383 N MCDOWELL BLVD, SUITE 110
PETALUMA, CA 94954
Sonoma County (707) 766-9852
EILER JOHN SOMMERHAUG M.D.
Surgery (Plastic and Reconstructive Surgery)
1383 N MCDOWELL BLVD, SUITE 110
PETALUMA, CA 94954
Sonoma County (707) 766-9852
STEPHEN J DENIGRIS MD
Internal Medicine (Gastroenterology)
1383 N MCDOWELL BLVD, STE110
PETALUMA, CA 94954
Sonoma County (707) 766-9852
STEPHEN DENIGRIS MD PHD
Internal Medicine (Gastroenterology)
1383 N MCDOWELL BLVD, STE 110
PETALUMA, CA 94954
Sonoma County (707) 766-9852
HEPATOLOGY AND GASTROENTEROLOGY ASSOCIATES INC
Internal Medicine (Gastroenterology)
1383 N MCDOWELL BLVD, STE 110
PETALUMA, CA 94954
Sonoma County (707) 766-9852

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 Mary Martindale's NPI number?

The NPI number for Mary Martindale is 1376279810. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Where is Mary Martindale located?

Mary Martindale practices at 1383 N Mcdowell Blvd, Petaluma, CA 94954. The listed phone number is (707) 308-2840.

What is Mary Martindale's specialty?

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

Is Mary Martindale enrolled in Medicare?

Yes. Mary Martindale 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.

When was this NPI record last updated?

The NPPES record for Mary Martindale was last updated on August 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.