MRS. MISTY M MARTINSEN FNP, MSN
NPI 1467685511
Nurse Practitioner in Malad City, ID

Q: What is Misty Martinsen's NPI number?

The NPI number for Misty Martinsen is 1467685511. It was assigned to this individual provider in the NPPES registry on August 24, 2009.

Q: What is Misty Martinsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Misty Martinsen was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 24, 2009PECOS Enrolled

220 BANNOCK ST, MALAD CITY, ID 83252(208) 766-2600 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Misty M Martinsen Fnp, Msn NPPES

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

MRS. MISTY M MARTINSEN FNP, MSN (NPI 1467685511) is an individual nurse practitioner in Malad City, Idaho, licensed in Idaho (NP-921A) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1467685511

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. MISTY M MARTINSENCredential: FNP, MSN

Location Address220 BANNOCK STMalad City, ID 83252-5068

Mailing Address1951 Bench Rd Ste BPocatello, ID 83201-2073 · (208) 238-1000

Phone(208) 766-2600

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateAugust 24, 2009

Last NPPES UpdateMay 22, 2023

NPPES CertifiedMay 22, 2023

✔ NPI 1467685511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ID · NP-921A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

220 BANNOCK ST, Malad City, ID 83252

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Misty M Martinsen Fnp, Msn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517007842

PECOS Enrollment IDI20091217000596

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.

Hospital Affiliations CMS Care Compare 2

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID

4/5 CMS rating

OwnershipProprietary

CMS Certification Number130028

Location777 Hospital WayPocatello, ID 83201 · Bannock County

Emergency services Birthing friendly

Nell J Redfield Memorial Hospital

Critical Access Hospitals · Malad, ID

OwnershipGovernment - Local

CMS Certification Number131303

Location150 North 200 WestMalad, ID 83252 · Oneida County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83252 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$92.02 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

RICK C. CLARK JR. PA

Physician Assistant

220 BANNOCK ST, SUITE 306
MALAD CITY, ID 83252

Oneida County (208) 766-2600

MEL BINGHAM PA-C

Physician Assistant