HELEN M MARTIN FNP
NPI 1659417848
Nurse Practitioner - Family in Wilmington, NC

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
1709 S 16TH ST STE A, WILMINGTON, NC 28401(910) 452-8633(910) 452-8589 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2024, Jun 1, 2017 (2 updates tracked since 2017).

About Helen M Martin Fnp NPPES

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

HELEN M MARTIN FNP (NPI 1659417848) is an individual family provider in Wilmington, North Carolina, licensed in North Carolina (5002312) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and is a graduate of Creighton University School Of Medicine (2005).

NPPES Registry Identity

NPI1659417848
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHELEN M MARTINCredential: FNP
Location Address1709 S 16TH ST STE AWilmington, NC 28401-6491
Mailing AddressPo Box 15109Wilmington, NC 28408-5109 · (910) 392-2525 · Fax (910) 392-2827
Fax(910) 452-8589
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2005
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1659417848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5002312
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5002312 (NC)
1709 S 16TH ST STE A, Wilmington, NC 28401

Other Identifiers 1

Medicaid7004160NC

Accepted Insurance

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

Helen M Martin Fnp 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 ID9133220726
PECOS Enrollment IDI20070726000458
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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
238 services81 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
127 services72 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
111 services57 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%335 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Adult Health)
1709 S 16TH ST STE A
WILMINGTON, NC 28401
Nurse Practitioner (Family)
1709 S 16TH ST STE A
WILMINGTON, NC 28401
Nurse Practitioner (Family)
1709 S 16TH ST STE A
WILMINGTON, NC 28401
Nurse Practitioner (Family)
1709 S 16TH ST STE A
WILMINGTON, NC 28401
Nurse Practitioner
1709 S 16TH ST STE A
WILMINGTON, NC 28401
Nurse Practitioner (Family)
1709 S 16TH ST STE A
WILMINGTON, NC 28401
Nurse Practitioner (Adult Health)
1709 S 16TH ST STE A
WILMINGTON, NC 28401
Nurse Practitioner
1709 S 16TH ST STE A
WILMINGTON, NC 28401

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 Helen Martin's NPI number?

The NPI number for Helen Martin is 1659417848. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Helen Martin located?

Helen Martin practices at 1709 S 16th St Ste A, Wilmington, NC 28401. The listed phone number is (910) 452-8633.

What is Helen Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Helen Martin enrolled in Medicare?

Yes. Helen 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.

What insurance does Helen Martin accept?

Health plans from Blue Cross and Blue Shield of NC list Helen 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 Helen Martin affiliated with any hospitals?

According to CMS data, Helen Martin is affiliated with Novant Health New Hanover Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Helen Martin was last updated on July 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.