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MRS. CAROLYN MARIE MARTIN MSN, FNP-C, BC
NPI 1447423108
Registered Nurse in Dallas, TX

Active since April 02, 2008PECOS Enrolled
17101 PRESTON RD STE 200, DALLAS, TX 75248(972) 239-4441(972) 239-1597 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Carolyn Marie Martin Msn, Fnp-c, Bc NPPES

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

MRS. CAROLYN MARIE MARTIN MSN, FNP-C, BC (NPI 1447423108) is an individual registered nurse in Dallas, Texas, licensed in Texas (532239) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Plano.

NPPES Registry Identity

NPI1447423108
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMRS. CAROLYN MARIE MARTINCredential: MSN, FNP-C, BC
Location Address17101 PRESTON RD STE 200Dallas, TX 75248-1374
Mailing Address5812 Furneaux DrPlano, TX 75093-4729 · (972) 608-2634 · Fax (972) 964-5348
Phone(972) 239-4441
Fax(972) 239-1597
Sole ProprietorNo
Enumeration DateApril 2, 2008
Last NPPES UpdateJune 17, 2019
✔ NPI 1447423108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in TX · 532239
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
17101 PRESTON RD STE 200, Dallas, TX 75248
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Secondary Practice Location 1

Location 14100 W 15th St, Suite 112Plano, TX 75093-5803 · Phone (972) 596-6917 · Fax (972) 964-5348

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carolyn Marie Martin Msn, Fnp-c, Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Carolyn Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kelly L Wimberly MD PA
Same address
Family Medicine
17101 PRESTON RD, SUITE 200
Dallas, TX 75248
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1578589842 (972) 239-4441

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

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.

CAMILLE HAWORTH REVER
Physician Assistant
17101 PRESTON RD STE 200
DALLAS, TX 75248
Dallas County (972) 239-4441
ABBY LYNN DALTON PA
Physician Assistant
17101 PRESTON RD STE 200
DALLAS, TX 75248
Dallas County (972) 239-4441

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 Carolyn Martin's NPI number?

The NPI number for Carolyn Martin is 1447423108. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Where is Carolyn Martin located?

Carolyn Martin practices at 17101 Preston Rd Ste 200, Dallas, TX 75248. The listed phone number is (972) 239-4441.

What is Carolyn Martin's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Carolyn Martin enrolled in Medicare?

Yes. Carolyn Martin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carolyn Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Martin reassigns Medicare benefits to Kelly L Wimberly MD PA (Dallas, TX). The 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 Carolyn 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 Carolyn Martin was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.