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MS. JESSICA ROSE MARTINEZ FNP-BC
NPI 1528932365
Nurse Practitioner - Primary Care in Mora, NM

Active since October 03, 2025PECOS EnrolledAccepts Medicare Assignment
3 MORA VALLEY CLINIC RD, MORA, NM 87732(575) 387-2201(575) 387-9006 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Jessica Rose Martinez Fnp-bc NPPES

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

MS. JESSICA ROSE MARTINEZ FNP-BC (NPI 1528932365) is an individual primary care provider in Mora, New Mexico, licensed in New Mexico (54060) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Alta Vista Regional Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1528932365
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. JESSICA ROSE MARTINEZCredential: FNP-BC
Location Address3 MORA VALLEY CLINIC RDMora, NM 87732-2202
Mailing AddressPo Box 2Cleveland, NM 87715-0002 · (575) 387-2201 · Fax (575) 387-9006
Phone(575) 387-2201
Fax(575) 387-9006
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1528932365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NM · 54060
3 MORA VALLEY CLINIC RD, Mora, NM 87732
Open in Google Maps ↗

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

Ms. Jessica Rose Martinez Fnp-bc 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 ID6406349604
PECOS Enrollment IDI20251205001710
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 Jessica Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mora Valley Community Health Services Inc
3.2 mi
Community Health
3 MORA VALLEY CLINIC RD
Mora, NM 87732
  • Reassigned Medicare billing, New Mexico enrollment
  • 6 clinicians in this Medicare group
NPI 1508840117 (877) 271-2201

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.

Alta Vista Regional Hospital

Critical Access Hospitals · Las Vegas, NM
OwnershipProprietary
CMS Certification Number321312
Location104 Legion DriveLas Vegas, NM 87701 · San Miguel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87732 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Other Providers at the Same Location NPPES 9

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

JESSICA MONIQUE LUCERO LCSW
Social Worker (Clinical)
3 MORA VALLEY CLINIC RD
MORA, NM 87732
Mora County (575) 387-5069
BIANCA VALDEZ RDH
Dental Hygienist
3 MORA VALLEY CLINIC RD
MORA, NM 87732
Mora County (575) 387-2481
NATHAN CHRISTOPHER DURAN RDH
Dental Hygienist
3 MORA VALLEY CLINIC RD
MORA, NM 87732
Mora County (505) 387-2201
MICHAEL J. LEE PA-C
Physician Assistant
3 MORA VALLEY CLINIC RD
MORA, NM 87732
Mora County (877) 271-2201
MORA VALLEY COMMUNITY HEALTH SERVICES INC
Clinic/Center (Community Health)
3 MORA VALLEY CLINIC RD
MORA, NM 87732
Mora County (877) 271-2201
CLARISSA GARCIA NP
Nurse Practitioner (Family)
3 MORA VALLEY CLINIC RD
MORA, NM 87732
Mora County (575) 387-5069
TANYA JOHNSON
Social Worker
3 MORA VALLEY CLINIC RD
MORA, NM 87732
Mora County (575) 387-2201
TYLER E MARTINEZ DDS
Dentist (General Practice)
3 MORA VALLEY CLINIC RD
MORA, NM 87732
Mora County (505) 387-2201

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 Jessica Martinez's NPI number?

The NPI number for Jessica Martinez is 1528932365. It was assigned to this individual provider in the NPPES registry on October 3, 2025.

Where is Jessica Martinez located?

Jessica Martinez practices at 3 Mora Valley Clinic Rd, Mora, NM 87732. The listed phone number is (575) 387-2201.

What is Jessica Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jessica Martinez enrolled in Medicare?

Yes. Jessica Martinez 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 organization bills Medicare for Jessica Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Martinez reassigns Medicare benefits to Mora Valley Community Health Services Inc (Mora, NM). 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 Jessica Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jessica Martinez affiliated with any hospitals?

According to CMS data, Jessica Martinez is affiliated with Alta Vista Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Martinez was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.