TERRI M MARTIN CRNA
NPI 1417067224
Nurse Anesthetist, Certified Registered in Hattiesburg, MS

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
415 S 28TH AVE, HATTIESBURG, MS 39401(601) 261-3606(601) 579-5166 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2020, Aug 23, 2016 (2 updates tracked since 2016).

About Terri M Martin Crna NPPES

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

TERRI M MARTIN CRNA (NPI 1417067224) is an individual nurse anesthetist, certified registered in Hattiesburg, Mississippi, licensed in Mississippi (R850497) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1417067224
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameTERRI M MARTINCredential: CRNA
Location Address415 S 28TH AVEHattiesburg, MS 39401-7246
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 261-3606 · Fax (601) 579-5240
Fax(601) 579-5166
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 10, 20202 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
✔ NPI 1417067224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MS · R850497
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
415 S 28TH AVE, Hattiesburg, MS 39401

Other Identifiers 3

Medicaid1419591LA
Medicaid00126213MS
Other640507572RYMS · American Admin Group

Accepted Insurance

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

Terri M Martin Crna 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 ID3678654902
PECOS Enrollment IDI20080112000167, I20230214001561
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

4

Medicare enrollment records show Terri Martin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
415 S 28TH AVE
Hattiesburg, MS 39401
  • Reassigned Medicare billing, Mississippi enrollment
  • 696 clinicians in this Medicare group
Ophthalmologic Surgery
1420 S 28TH AVE
Hattiesburg, MS 39402
  • Reassigned Medicare billing, Mississippi enrollment
  • 17 clinicians in this Medicare group
Anesthesiology
1923 W 10TH ST
Laurel, MS 39440
  • Reassigned Medicare billing, Mississippi enrollment
  • 14 clinicians in this Medicare group
Anesthesiology
2451 FILLINGIM ST
Mobile, AL 36617
  • Reassigned Medicare billing, Alabama enrollment
  • 267 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.

Hospital Affiliations CMS Care Compare

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

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39401 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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 20

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

Neurological Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Nurse Anesthetist, Certified Registered
415 S 28TH AVE
HATTIESBURG, MS 39401
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401
Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Psychiatry & Neurology (Neurology)
415 S 28TH AVE
HATTIESBURG, MS 39401
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401

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 Terri Martin's NPI number?

The NPI number for Terri Martin is 1417067224. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Terri Martin located?

Terri Martin practices at 415 S 28th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 261-3606.

What is Terri Martin's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Terri Martin enrolled in Medicare?

Yes. Terri 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 Terri Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terri Martin reassigns Medicare benefits to 4 organizations: Hattiesburg Clinic PA (Hattiesburg, MS), Southern Eye Surgery Center LLC (Hattiesburg, MS), Southern Eye Surgery And Laser Center, LLC (Laurel, MS) and Usa Health Anesthesia Billing Services, 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 Terri Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terri Martin accept?

Health plans from Blue Cross and Blue Shield of Alabama list Terri Martin 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 Terri Martin affiliated with any hospitals?

According to CMS data, Terri Martin is affiliated with Forrest General Hospital.

When was this NPI record last updated?

The NPPES record for Terri Martin was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.