CARLY MARTELLE APNP
NPI 1689402620
Nurse Practitioner in Janesville, WI

Active since July 22, 2024PECOS EnrolledAccepts Medicare Assignment
3200 E RACINE ST, JANESVILLE, WI 53546(608) 371-8000(608) 371-8939 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Jul 22, 2024 (2 updates tracked since 2024).

About Carly Martelle Apnp NPPES

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

CARLY MARTELLE APNP (NPI 1689402620) is an individual nurse practitioner in Janesville, Wisconsin, licensed in Wisconsin (15527-33) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689402620
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARLY MARTELLECredential: APNP
Location Address3200 E RACINE STJanesville, WI 53546-2343
Mailing Address3200 E Racine StJanesville, WI 53546-2343 · (608) 371-8000 · Fax (608) 371-8939
Fax(608) 371-8939
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 22, 2024
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
NPI 1689402620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 15527-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3200 E RACINE ST, Janesville, WI 53546

Other Identifiers 1

Medicaid1689402620WI

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

Carly Martelle Apnp 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 ID7416497532
PECOS Enrollment IDI20240904001897
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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services16 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

Edgerton Hospital And Health Services

Critical Access Hospitals · Edgerton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521319
Location11101 N Sherman RoadEdgerton, WI 53534 · Rock County
Emergency services

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53546 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Physician Assistant (Medical)
3200 E RACINE ST
JANESVILLE, WI 53546
Registered Nurse (Diabetes Educator)
3200 E RACINE ST
JANESVILLE, WI 53546
Pediatrics
3200 E RACINE ST
JANESVILLE, WI 53546
Otolaryngology
3200 E RACINE ST
JANESVILLE, WI 53546
Physician Assistant
3200 E RACINE ST
JANESVILLE, WI 53546
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI 53546
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI 53546
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI 53546

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 Carly Martelle's NPI number?

The NPI number for Carly Martelle is 1689402620. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Carly Martelle located?

Carly Martelle practices at 3200 E Racine St, Janesville, WI 53546. The listed phone number is (608) 371-8000.

What is Carly Martelle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carly Martelle enrolled in Medicare?

Yes. Carly Martelle 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 Carly Martelle accept?

Health plans from Anthem Blue Cross and Blue Shield list Carly Martelle 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 Carly Martelle affiliated with any hospitals?

According to CMS data, Carly Martelle is affiliated with Fort Memorial Hospital, Ssm Health St Mary's Hospital - Madison, Ssm Health St Mary's Hospital - Janesville, Edgerton Hospital And Health Services and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Carly Martelle was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.