MELODY E MARTINEZ
NPI 1639905557
Nurse Practitioner - Primary Care in Fond Du Lac, WI
About Melody E Martinez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELODY E MARTINEZ (NPI 1639905557) is an individual primary care provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (15879) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Other (2024).
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
Melody E Martinez 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 Melody Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fond Du Lac, WI 54935
- Reassigned Medicare billing, Wisconsin enrollment
- 606 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St. Agnes Hospital Hospice
Acute Care Hospitals · Fond Du Lac, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54935 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOND DU LAC, WI 54935
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 Melody Martinez's NPI number?
The NPI number for Melody Martinez is 1639905557. It was assigned to this individual provider in the NPPES registry on September 9, 2024.
Where is Melody Martinez located?
Melody Martinez practices at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 926-8200.
What is Melody Martinez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Melody Martinez enrolled in Medicare?
Yes. Melody 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.
Which organization bills Medicare for Melody Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melody Martinez reassigns Medicare benefits to Agnesian Healthcare, Inc (Fond Du Lac, WI). 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 Melody Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melody Martinez accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and Quartz list Melody 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 Melody Martinez affiliated with any hospitals?
According to CMS data, Melody Martinez is affiliated with St. Agnes Hospital Hospice.
When was this NPI record last updated?
The NPPES record for Melody Martinez was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Melody E Martinez · NPI 1639905557
Primary Care physician in Fond Du Lac, Wisconsin. Individual provider, active in the CMS NPPES registry since September 9, 2024.
## Identity
- **NPI:** 1639905557 (Entity type: Individual)
- **Enumerated:** September 9, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 15879 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 430 E DIVISION ST, Fond Du Lac, WI 54935-4560
- **Phone:** (920) 926-8200
## 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:** Agnesian Healthcare, Inc (NPI 1346228541, Fond Du Lac, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639905557) · Data from the CMS NPPES public registry.