TERRY A MARTIN CRNA
NPI 1639178874
Nurse Anesthetist, Certified Registered in Dodge City, KS
About Terry A Martin Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERRY A MARTIN CRNA (NPI 1639178874) is an individual nurse anesthetist, certified registered in Dodge City, Kansas, licensed in Kansas (54522) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
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
Terry A Martin Crna 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 Reassignments
4Medicare enrollment records show Terry Martin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Iberia, LA 70563
- Reassigned Medicare billing, Mississippi enrollment
- 54 clinicians in this Medicare group
Gulfport, MS 39501
- Reassigned Medicare billing, Mississippi enrollment
- 76 clinicians in this Medicare group
Gulfport, MS 39507
- Reassigned Medicare billing, Mississippi enrollment
- 5 clinicians in this Medicare group
Pascagoula, MS 39581
- Reassigned Medicare billing, Mississippi enrollment
- 9 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 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital At Gulfport
Acute Care Hospitals · Gulfport, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 67801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DODGE CITY, KS 67801
DODGE CITY, KS 67801
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 Terry Martin's NPI number?
The NPI number for Terry Martin is 1639178874. It was assigned to this individual provider in the NPPES registry on July 19, 2005.
Where is Terry Martin located?
Terry Martin practices at 100 W Ross Blvd, Dodge City, KS 67801. The listed phone number is (620) 225-2847.
What is Terry Martin's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Terry Martin enrolled in Medicare?
Yes. Terry 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 organizations bill Medicare for Terry Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terry Martin reassigns Medicare benefits to 4 organizations: Youngs Professional Services LLC (New Iberia, LA), Etas, PLLC (Gulfport, MS), Hogan Surgical Center PA (Gulfport, MS) and Pain Consultants Of Alabama, LLC (Pascagoula, MS). 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 Terry Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terry Martin accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Terry 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.
Is Terry Martin affiliated with any hospitals?
According to CMS data, Terry Martin is affiliated with Memorial Hospital At Gulfport.
When was this NPI record last updated?
The NPPES record for Terry Martin was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Terry A Martin, CRNA · NPI 1639178874
Nurse Anesthetist, Certified Registered physician in Dodge City, Kansas. Individual provider, active in the CMS NPPES registry since July 19, 2005.
## Identity
- **NPI:** 1639178874 (Entity type: Individual)
- **Enumerated:** July 19, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 54522 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 W ROSS BLVD, Dodge City, KS 67801-7216
- **Phone:** (620) 225-2847 · **Fax:** (620) 225-7046
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Youngs Professional Services LLC (NPI 1922178599, New Iberia, LA); Etas, PLLC (NPI 1679259360, Gulfport, MS); Hogan Surgical Center PA (NPI 1104829597, Gulfport, MS); Pain Consultants Of Alabama, LLC (NPI 1659312007, Pascagoula, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639178874) · Data from the CMS NPPES public registry.