MARTINA NANKIVELL PAC
NPI 1376853879
Physician Assistant in Long Beach, CA

Active since October 18, 2010PECOS EnrolledAccepts Medicare Assignment
320 PINE AVE STE 609, LONG BEACH, CA 90802(562) 279-0180 Get Directions Write a Review

NPPES record last updated: September 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2020, Aug 24, 2016 (2 updates tracked since 2016).

About Martina Nankivell Pac NPPES

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

MARTINA NANKIVELL PAC (NPI 1376853879) is an individual physician assistant in Long Beach, California, licensed in California (PA21291) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1376853879
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARTINA NANKIVELLCredential: PAC
Location Address320 PINE AVE STE 609Long Beach, CA 90802-2310
Mailing Address320 Pine Ave Ste 609Long Beach, CA 90802-2310 · (562) 279-0180
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 18, 2010
Last NPPES UpdateSeptember 23, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2023
NPI 1376853879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CA · PA21291 Licensed in TX · PA12836 Licensed in AZ · 7436 Licensed in NV · 2247 Licensed in FL · PA9116057
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
320 PINE AVE STE 609, Long Beach, CA 90802

Secondary Practice Location 1

Location 14300 Biscayne Blvd Ste 203Miami, FL 33137-3255 · Phone (877) 400-0540

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

Martina Nankivell Pac 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 ID7517149172
PECOS Enrollment IDI20240124000429
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90802 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 16

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

Physician Assistant
320 PINE AVE STE 609
LONG BEACH, CA 90802
Counselor (Mental Health)
320 PINE AVE STE 609
LONG BEACH, CA 90802
Nurse Practitioner (Psychiatric/Mental Health)
320 PINE AVE STE 609
LONG BEACH, CA 90802
Counselor (Mental Health)
320 PINE AVE STE 609
LONG BEACH, CA 90802
Nurse Practitioner (Psychiatric/Mental Health)
320 PINE AVE STE 609
LONG BEACH, CA 90802
Social Worker (Clinical)
320 PINE AVE STE 609
LONG BEACH, CA 90802
Social Worker (Clinical)
320 PINE AVE STE 609
LONG BEACH, CA 90802
Psychiatry & Neurology (Psychiatry)
320 PINE AVE STE 609
LONG BEACH, CA 90802

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 Martina Nankivell's NPI number?

The NPI number for Martina Nankivell is 1376853879. It was assigned to this individual provider in the NPPES registry on October 18, 2010.

Where is Martina Nankivell located?

Martina Nankivell practices at 320 Pine Ave Ste 609, Long Beach, CA 90802. The listed phone number is (562) 279-0180.

What is Martina Nankivell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Martina Nankivell enrolled in Medicare?

Yes. Martina Nankivell 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 Martina Nankivell was last updated on September 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.