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HALEY MARTIN
NPI 1568929552
Nurse Practitioner - Family in Fort Worth, TX

Active since February 26, 2019PECOS Enrolled
1048 ALEDO RIDGE CT, FORT WORTH, TX 76108(817) 694-5232(817) 441-9282 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2023, Mar 24, 2021, Jan 3, 2020 and 1 more (4 updates tracked since 2019).

About Haley Martin NPPES

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

HALEY MARTIN (NPI 1568929552) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP140445) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568929552
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHALEY MARTIN
Location Address1048 ALEDO RIDGE CTFort Worth, TX 76108-3098
Mailing Address1048 Aledo Ridge CtFort Worth, TX 76108-3098 · (817) 694-5232 · Fax (817) 441-9282
Phone(817) 694-5232
Fax(817) 441-9282
Sole ProprietorYes
Enumeration DateFebruary 26, 2019
Last NPPES UpdateOctober 12, 20234 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1568929552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP140445
Also ListedFamily MedicineTaxonomy 207Q00000X · License AP140445 (TX)
1048 ALEDO RIDGE CT, Fort Worth, TX 76108
Open in Google Maps ↗

Other Identifiers 1

Medicaid1366537482TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haley Martin 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 Reassignments

2

Medicare enrollment records show Haley Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Urgent Care PA
220 mi
Urgent Care
1640 LAKE WOODLANDS DR, SUITE E
The Woodlands, TX 77380
  • Reassigned Medicare billing, Texas enrollment
  • 56 clinicians in this Medicare group
NPI 1598059776 (214) 729-5600
Doctor On Demand Professionals P C
1,441 mi
Family Medicine
1 CALIFORNIA ST STE 2300
San Francisco, CA 94111
  • Reassigned Medicare billing, Texas enrollment
  • 106 clinicians in this Medicare group
NPI 1174931448 (800) 997-6196

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76108 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

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 Haley Martin's NPI number?

The NPI number for Haley Martin is 1568929552. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Where is Haley Martin located?

Haley Martin practices at 1048 Aledo Ridge Ct, Fort Worth, TX 76108. The listed phone number is (817) 694-5232.

What is Haley Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Haley Martin enrolled in Medicare?

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

Which organizations bill Medicare for Haley Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haley Martin reassigns Medicare benefits to 2 organizations: Pediatric Urgent Care PA (The Woodlands, TX) and Doctor On Demand Professionals P C (San Francisco, CA). 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 Haley Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haley Martin accept?

Health plans from Blue Cross and Blue Shield of Texas list Haley 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.

When was this NPI record last updated?

The NPPES record for Haley Martin was last updated on October 12, 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.