KELLY ANDREA MARTIN APRN-C
NPI 1619123353
Nurse Practitioner - Family in Granite City, IL
About Kelly Andrea Martin Aprn-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ANDREA MARTIN APRN-C (NPI 1619123353) is an individual family provider in Granite City, Illinois, licensed in Illinois (041273311) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Litchfield, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Andrea Martin Aprn-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
9Medicare enrollment records show Kelly Martin reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Granite City, IL 62040
- Reassigned Medicare billing, Illinois enrollment
- 54 clinicians in this Medicare group
Wood River, IL 62095
- Reassigned Medicare billing, Illinois enrollment
- 90 clinicians in this Medicare group
Wood River, IL 62095
- Reassigned Medicare billing, Illinois enrollment
- 40 clinicians in this Medicare group
Alton, IL 62002
- Reassigned Medicare billing, Illinois enrollment
- 50 clinicians in this Medicare group
Belleville, IL 62226
- Reassigned Medicare billing, Illinois enrollment
- 53 clinicians in this Medicare group
Waterloo, IL 62298
- Reassigned Medicare billing, Illinois enrollment
- 51 clinicians in this Medicare group
Chicago Heights, IL 60411
- Reassigned Medicare billing, Illinois enrollment
- 173 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Illinois enrollment
- 64 clinicians in this Medicare group
Lanham, MD 20706
- Reassigned Medicare billing, Illinois enrollment
- 176 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62040 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 3
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRANITE CITY, IL 62040
GRANITE CITY, IL 62040
GRANITE CITY, IL 62040
GRANITE CITY, IL 62040
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 Kelly Martin's NPI number?
The NPI number for Kelly Martin is 1619123353. It was assigned to this individual provider in the NPPES registry on August 13, 2008.
Where is Kelly Martin located?
Kelly Martin practices at 50 Northgate Industrial Dr, Granite City, IL 62040. The listed phone number is (618) 877-4420.
What is Kelly Martin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Martin enrolled in Medicare?
Yes. Kelly Martin is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelly Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Martin reassigns Medicare benefits to 9 organizations: Granite City Urgent Care Walk-In Clinic (Granite City, IL), Chestnut Health Systems Inc. (Wood River, IL), Wood River Urgent Care And Walk In Clinic Inc (Wood River, IL), Alton Urgent Care Walk In Clinic Company (Alton, IL), Belleville Urgent Care Walk-In Clinic (Belleville, IL) and 4 more organizations, listed in the Medicare section above. 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 Kelly Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Martin accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Kelly 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 Kelly Martin was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Kelly Andrea Martin, APRN-C · NPI 1619123353
Family physician in Granite City, Illinois. Individual provider, active in the CMS NPPES registry since August 13, 2008.
## Identity
- **NPI:** 1619123353 (Entity type: Individual)
- **Enumerated:** August 13, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 041273311 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 NORTHGATE INDUSTRIAL DR, Granite City, IL 62040-6805
- **Phone:** (618) 877-4420
## 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:** 9 organizations under Medicare reassignment (form CMS-855R): Granite City Urgent Care Walk-In Clinic (NPI 1659861953, Granite City, IL); Chestnut Health Systems Inc. (NPI 1235941311, Wood River, IL); Wood River Urgent Care And Walk In Clinic Inc (NPI 1427717438, Wood River, IL); Alton Urgent Care Walk In Clinic Company (NPI 1013521343, Alton, IL); Belleville Urgent Care Walk-In Clinic (NPI 1225694946, Belleville, IL); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** October 30, 2024
- **Other identifiers:** Other 041273311 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1619123353) · Data from the CMS NPPES public registry.