JAMES MARTINEZ CRNP
NPI 1699205385
Nurse Practitioner - Family in Birmingham, AL
About James Martinez Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES MARTINEZ CRNP (NPI 1699205385) is an individual family provider in Birmingham, Alabama, licensed in Alabama (F06170062) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
James Martinez Crnp 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 Reassignments
3Medicare enrollment records show James Martinez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Birmingham, AL 35294
- Reassigned Medicare billing, Alabama enrollment
- 4,494 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Alabama enrollment
- 263 clinicians in this Medicare group
Homewood, AL 35209
- Reassigned Medicare billing, Alabama enrollment
- 25 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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.
BIRMINGHAM, AL 35235
BIRMINGHAM, AL 35235
BIRMINGHAM, AL 35235
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 James Martinez's NPI number?
The NPI number for James Martinez is 1699205385. It was assigned to this individual provider in the NPPES registry on June 14, 2017.
Where is James Martinez located?
James Martinez practices at 50 Medical Park Dr E, Birmingham, AL 35235. The listed phone number is (205) 838-3000.
What is James Martinez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is James Martinez enrolled in Medicare?
Yes. James 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 organizations bill Medicare for James Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Martinez reassigns Medicare benefits to 3 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL), Vincentian Physician Services LLC (Birmingham, AL) and St. Vincent's Urgent Care LLC (Homewood, AL). 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 James Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Martinez accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list James 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.
When was this NPI record last updated?
The NPPES record for James Martinez was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# James Martinez, CRNP · NPI 1699205385
Family physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since June 14, 2017.
## Identity
- **NPI:** 1699205385 (Entity type: Individual)
- **Enumerated:** June 14, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F06170062 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 MEDICAL PARK DR E, Birmingham, AL 35235-3401
- **Phone:** (205) 838-3000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Alabama Health Services Foundation, PC (NPI 1366638330, Birmingham, AL); Vincentian Physician Services LLC (NPI 1851698310, Birmingham, AL); St. Vincent's Urgent Care LLC (NPI 1346605821, Homewood, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1699205385) · Data from the CMS NPPES public registry.