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MR. JASON MARTIN PMHNP-BC
NPI 1639507551
Nurse Practitioner - Psychiatric/Mental Health in Idaho Falls, ID

Active since October 31, 2013PECOS EnrolledAccepts Medicare Assignment
13734 S 1ST E, IDAHO FALLS, ID 83404(208) 360-0288 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2020, Oct 15, 2019 (2 updates tracked since 2019).

About Mr. Jason Martin Pmhnp-bc NPPES

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

MR. JASON MARTIN PMHNP-BC (NPI 1639507551) is an individual psychiatric/mental health provider in Idaho Falls, Idaho, licensed in Idaho (NP 1389A) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1639507551
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JASON MARTINCredential: PMHNP-BC
Location Address13734 S 1ST EIdaho Falls, ID 83404-7852
Mailing Address13734 S 1st EIdaho Falls, ID 83404-7852 · (208) 360-0288
Phone(208) 360-0288
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 31, 2013
Last NPPES UpdateJune 25, 20202 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1639507551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in ID · NP 1389A✔ Licensed in MT · NUR-RN-LIC-39018
13734 S 1ST E, Idaho Falls, ID 83404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Premera Blue Cross Blue Shield of Alaska, UnitedHealthcare.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

Mr. Jason Martin Pmhnp-bc 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 ID5092943456
PECOS Enrollment IDI20201001003351
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.

Medicare Billing Reassignment

Medicare enrollment records show Jason Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anchorage Community Mental Health Services, Inc
1,973 mi
Community/Behavioral Health
1450 MULDOON RD
Anchorage, AK 99504
  • Reassigned Medicare billing, Alaska enrollment
  • 43 clinicians in this Medicare group
NPI 1285272229 (907) 563-1000

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 83404 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
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

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

FOOTHILLS PSYCHIATRY AND ADDICTION
Psychiatry & Neurology (Psychiatry)
13734 S 1ST E
IDAHO FALLS, ID 83404
Bonneville County (208) 360-0288

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 Jason Martin's NPI number?

The NPI number for Jason Martin is 1639507551. It was assigned to this individual provider in the NPPES registry on October 31, 2013.

Where is Jason Martin located?

Jason Martin practices at 13734 S 1st E, Idaho Falls, ID 83404. The listed phone number is (208) 360-0288.

What is Jason Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jason Martin enrolled in Medicare?

Yes. Jason 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 Jason Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Martin reassigns Medicare benefits to Anchorage Community Mental Health Services, Inc (Anchorage, AK). 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 Jason Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Martin accept?

Health plans from Blue Cross Blue Shield of Wyoming, Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Jason 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 Jason Martin was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.