DR. NICHOLAUS BRUCE MARTIN MD
NPI 1629053236
General Practice in Flagstaff, AZ
About Dr. Nicholaus Bruce Martin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICHOLAUS BRUCE MARTIN MD (NPI 1629053236) is an individual general practice provider in Flagstaff, Arizona, licensed in Arizona (18430) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (1983).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
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
Dr. Nicholaus Bruce Martin Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicholaus Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85034
- Reassigned Medicare billing, Arizona enrollment
- 43 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
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLAGSTAFF, AZ 86001
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 Nicholaus Martin's NPI number?
The NPI number for Nicholaus Martin is 1629053236. It was assigned to this individual provider in the NPPES registry on December 7, 2005.
Where is Nicholaus Martin located?
Nicholaus Martin practices at 120 W Fine Ave, Flagstaff, AZ 86001. The listed phone number is (928) 773-9695.
What is Nicholaus Martin's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Nicholaus Martin enrolled in Medicare?
Yes. Nicholaus Martin 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 Nicholaus Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholaus Martin reassigns Medicare benefits to American Current Care Of Arizona PA (Phoenix, AZ). 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 Nicholaus Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholaus Martin accept?
Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 4 other insurers list Nicholaus 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 Nicholaus Martin was last updated on January 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Nicholaus Bruce Martin, MD · NPI 1629053236
General Practice physician in Flagstaff, Arizona. Individual provider, active in the CMS NPPES registry since December 7, 2005.
## Identity
- **NPI:** 1629053236 (Entity type: Individual)
- **Enumerated:** December 7, 2005
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 18430 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 120 W FINE AVE, Flagstaff, AZ 86001-3016
- **Phone:** (928) 773-9695 · **Fax:** (928) 773-0208
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** American Current Care Of Arizona PA (NPI 1780873307, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arizona College Of Medicine, class of 1983
## Record status
- **NPPES last updated:** January 22, 2010
- **Other identifiers:** Medicare PIN Z120963 (AZ); Medicare ID-Type Unspecified WDB7Q01; Medicare UPIN F10848; and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629053236) · Data from the CMS NPPES public registry.