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KATHLEEN MARTIN F.N.P.
NPI 1669422135
Nurse Practitioner - Family in Princeville, IL

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
223 E MAIN ST, PRINCEVILLE, IL 61559(309) 385-4371(309) 385-2695 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathleen Martin F.n.p. NPPES

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

KATHLEEN MARTIN F.N.P. (NPI 1669422135) is an individual family provider in Princeville, Illinois, licensed in Illinois (209004444) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1669422135
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN MARTINCredential: F.N.P.
Location Address223 E MAIN STPrinceville, IL 61559-9654
Mailing Address223 E Main StPrinceville, IL 61559-9654 · (309) 385-4371 · Fax (309) 385-2695
Phone(309) 385-4371
Fax(309) 385-2695
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 12, 2006
Last NPPES UpdateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
✔ NPI 1669422135 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 IL · 209004444
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209004444 (IL)
223 E MAIN ST, Princeville, IL 61559
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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

Kathleen Martin F.n.p. 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 ID2466430467
PECOS Enrollment IDI20040707001289
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 Reassignments

3

Medicare enrollment records show Kathleen Martin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Proctor Health Systems
15 mi
Ambulatory Surgical
5401 N KNOXVILLE AVE, STE 217
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 349 clinicians in this Medicare group
NPI 1720223837 (309) 691-1092
Methodist Medical Center Of Illinois
18 mi
Psychiatric Unit
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1164474755 (Illinois)
  • 693 clinicians in this Medicare group
NPI 1275583155 (309) 672-5522
Carle Health Medical Group
99 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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 4

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Osf Saint Luke Medical Center

Critical Access Hospitals · Kewanee, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141325
Location1051 West South StreetKewanee, IL 61443 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61559 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers26 claims76 services$5.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims13 services$1.04 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$82.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

METHODIST MEDICAL CENTER OF ILLINOIS
Clinic/Center (Rural Health)
223 E MAIN ST
PRINCEVILLE, IL 61559
Peoria County (309) 385-4371
COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS
Clinic/Center (Federally Qualified Health Center (FQHC))
223 E MAIN ST
PRINCEVILLE, IL 61559
Peoria County (312) 795-0000
PROCTOR HEALTH SYSTEMS
Clinic/Center (Rural Health)
223 E MAIN ST
PRINCEVILLE, IL 61559
Peoria County (309) 385-4371
JOSHUA SCHUPBACH MD
Family Medicine
223 E MAIN ST
PRINCEVILLE, IL 61559
Peoria County (309) 385-4371
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Clinic/Center (Rural Health)
223 E MAIN ST
PRINCEVILLE, IL 61559
Peoria County (309) 385-4371
METHODIST MEDICAL CENTER OF ILLINOIS
Family Medicine
223 E MAIN ST
PRINCEVILLE, IL 61559
Peoria County (309) 385-4371

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 Kathleen Martin's NPI number?

The NPI number for Kathleen Martin is 1669422135. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Kathleen Martin located?

Kathleen Martin practices at 223 E Main St, Princeville, IL 61559. The listed phone number is (309) 385-4371.

What is Kathleen Martin's specialty?

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

Is Kathleen Martin enrolled in Medicare?

Yes. Kathleen 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 Kathleen Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Martin reassigns Medicare benefits to 3 organizations: Proctor Health Systems (Peoria, IL), Methodist Medical Center Of Illinois (Peoria, IL) and Carle Health Medical Group (Urbana, IL). 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 Kathleen Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kathleen Martin affiliated with any hospitals?

According to CMS data, Kathleen Martin is affiliated with Proctor Hospital, Saint Francis Medical Center, Methodist Medical Center Of Illinois and Osf Saint Luke Medical Center.

When was this NPI record last updated?

The NPPES record for Kathleen Martin was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.