MS. KRISTIN SHANDEL MARTIN NP
NPI 1639983133
Nurse Practitioner - Family in Portland, OR
About Ms. Kristin Shandel Martin Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KRISTIN SHANDEL MARTIN NP (NPI 1639983133) is an individual family provider in Portland, Oregon, licensed in Oregon (10035209) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Kristin Shandel Martin Np 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97229 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97229
PORTLAND, OR 97229
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 Kristin Martin's NPI number?
The NPI number for Kristin Martin is 1639983133. It was assigned to this individual provider in the NPPES registry on February 4, 2025. The provider is also known as Kristin Shandel Perry.
Where is Kristin Martin located?
Kristin Martin practices at 15640 NW Laidlaw Rd Ste 102, Portland, OR 97229. The listed phone number is (503) 956-7120.
What is Kristin Martin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kristin Martin enrolled in Medicare?
Yes. Kristin 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.
Is Kristin Martin affiliated with any hospitals?
According to CMS data, Kristin Martin is affiliated with Providence St Vincent Medical Center.
When was this NPI record last updated?
The NPPES record for Kristin Martin was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Ms. Kristin Shandel Martin, NP · NPI 1639983133
Family physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since February 4, 2025.
## Identity
- **NPI:** 1639983133 (Entity type: Individual)
- **Enumerated:** February 4, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 10035209 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 15640 NW LAIDLAW RD STE 102, Portland, OR 97229-3828
- **Phone:** (503) 956-7120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639983133) · Data from the CMS NPPES public registry.