CAROLYN MOSS MARTINEZ FNP
NPI 1609101997
Nurse Practitioner - Family in San Diego, CA
About Carolyn Moss Martinez Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN MOSS MARTINEZ FNP (NPI 1609101997) is an individual family provider in San Diego, California, licensed in California (22031) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carolyn Moss Martinez Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carolyn Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chula Vista, CA 91911
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
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 92154 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Martinez's NPI number?
The NPI number for Carolyn Martinez is 1609101997. It was assigned to this individual provider in the NPPES registry on October 5, 2009.
Where is Carolyn Martinez located?
Carolyn Martinez practices at 1016 Outer Rd, San Diego, CA 92154. The listed phone number is (619) 429-3733.
What is Carolyn Martinez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carolyn Martinez enrolled in Medicare?
Yes. Carolyn Martinez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carolyn Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Martinez reassigns Medicare benefits to Family Health Centers Of San Diego Inc (Chula Vista, CA). 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 Martinez'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 Martinez was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Carolyn Moss Martinez, FNP · NPI 1609101997
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since October 5, 2009.
## Identity
- **NPI:** 1609101997 (Entity type: Individual)
- **Enumerated:** October 5, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 22031 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1016 OUTER RD, San Diego, CA 92154
- **Phone:** (619) 429-3733
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Family Health Centers Of San Diego Inc (NPI 1083959464, Chula Vista, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1609101997) · Data from the CMS NPPES public registry.