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NANCY MARTINEZ PA-C
NPI 1609582402
Physician Assistant in Chicago, IL

Active since January 25, 2023PECOS EnrolledAccepts Medicare Assignment
1969 W OGDEN AVE, CHICAGO, IL 60612(312) 864-6000 Get Directions Write a Review

NPPES record last updated: June 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2023, Jan 25, 2023 (2 updates tracked since 2023).

About Nancy Martinez Pa-c NPPES

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

NANCY MARTINEZ PA-C (NPI 1609582402) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085009353) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609582402
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNANCY MARTINEZCredential: PA-C
Location Address1969 W OGDEN AVEChicago, IL 60612-3765
Mailing Address2225 W Lawrence Ave Apt 2Chicago, IL 60625-1903 · (773) 272-2556
Phone(312) 864-6000
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 25, 2023
Last NPPES UpdateJune 4, 20232 updates tracked since enumeration
NPPES CertifiedJune 4, 2023
✔ NPI 1609582402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085009353
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1969 W OGDEN AVE, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nancy Martinez Pa-c 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 ID9436523222
PECOS Enrollment IDI20230317000891
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 20

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

DR. VIGNESH CHIDAMBARAM MD, MPH
Internal Medicine (Cardiovascular Disease)
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
LUCAS KUZMANIC DO
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
KEERTHIKA VIJAYAKUMAR MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. KEVIN BOUBOULEIX
Emergency Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
NABEEL ZIA AHMED
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. VAMSI KRISHNA KAZA M.D., MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
CHRISTINE MARIA WHIPPLE LCSW
Social Worker (Clinical)
1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612
Cook County (312) 864-1466
LESLIE FENIO PA-C
Physician Assistant
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-7761

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 Nancy Martinez's NPI number?

The NPI number for Nancy Martinez is 1609582402. It was assigned to this individual provider in the NPPES registry on January 25, 2023.

Where is Nancy Martinez located?

Nancy Martinez practices at 1969 W Ogden Ave, Chicago, IL 60612. The listed phone number is (312) 864-6000.

What is Nancy Martinez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nancy Martinez enrolled in Medicare?

Yes. Nancy 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.

What insurance does Nancy Martinez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Nancy Martinez 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.

Is Nancy Martinez affiliated with any hospitals?

According to CMS data, Nancy Martinez is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Nancy Martinez was last updated on June 4, 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.