JEAN ELLEN MARTIN NP-C
NPI 1518297779
Nurse Practitioner in Goshen, IN

Q: What is Jean Martin's NPI number?

The NPI number for Jean Martin is 1518297779. It was assigned to this individual provider in the NPPES registry on January 11, 2010.

Q: What is Jean Martin'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 Jean Martin was last updated on May 3, 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 January 11, 2010PECOS Enrolled

2824 ELKHART RD, GOSHEN, IN 46526(574) 535-1700(574) 535-1799 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2023, Feb 6, 2023, Apr 14, 2022 and 1 more (4 updates tracked since 2017).

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About Jean Ellen Martin Np-c NPPES

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

JEAN ELLEN MARTIN NP-C (NPI 1518297779) is an individual nurse practitioner in Goshen, Indiana, licensed in Indiana (71003218A) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Goshen.

NPPES Registry Identity

NPI1518297779

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJEAN ELLEN MARTINCredential: NP-C

Location Address2824 ELKHART RDGoshen, IN 46526-1014

Mailing AddressPo Box 834Goshen, IN 46527-0834

Phone(574) 535-1700

Fax(574) 535-1799

Sole ProprietorYes

Enumeration DateJanuary 11, 2010

Last NPPES UpdateMay 3, 20234 updates tracked since enumeration

NPPES CertifiedMay 3, 2023

✔ NPI 1518297779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71003218A

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71003218A (IN)

2824 ELKHART RD, Goshen, IN 46526

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Secondary Practice Location 1

Location 11808 Charlton CtGoshen, IN 46526-6463 · Phone (574) 533-2599 · Fax (574) 533-2681

Other Identifiers 1

Medicaid200981470IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Jean Ellen Martin Np-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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Other Providers at the Same Location NPPES 19

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

GARY NEPHEW

Pharmacist