HEATHER MARTINEZ NP
NPI 1710338272
Nurse Practitioner in Columbia, MO

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
1 HOSPITAL DR, COLUMBIA, MO 65212(573) 882-2568 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heather Martinez Np NPPES

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

HEATHER MARTINEZ NP (NPI 1710338272) is an individual nurse practitioner in Columbia, Missouri, licensed in Missouri (2016021271) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1710338272
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER MARTINEZCredential: NP
Location Address1 HOSPITAL DRColumbia, MO 65212-1000
Mailing Address15399 Audrain Road 210Centralia, MO 65240-6201 · (210) 749-5699
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 27, 2016
✔ NPI 1710338272 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 MO · 2016021271
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.
1 HOSPITAL DR, Columbia, MO 65212

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

Heather Martinez 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.

PECOS PAC ID840586699
PECOS Enrollment IDI20191105002289
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 Heather Martinez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
7777 FOREST LN
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 486 clinicians in this Medicare group
Hospitalist
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Sound Inpatient Physicians Of Texas I, Inc
  • 478 clinicians in this Medicare group
Internal Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 828 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.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
513 services513 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.
135 services135 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Internal Medicine (Clinical Cardiac Electrophysiology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Internal Medicine (Hematology & Oncology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Emergency Medicine
1 HOSPITAL DR
COLUMBIA, MO 65212
Anesthesiology
1 HOSPITAL DR
COLUMBIA, MO 65212
Physician Assistant
1 HOSPITAL DR
COLUMBIA, MO 65212
Orthopaedic Surgery (Orthopaedic Trauma)
1 HOSPITAL DR
COLUMBIA, MO 65212
Psychiatry & Neurology (Neurology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Anesthesiology
1 HOSPITAL DR, DC056.20
COLUMBIA, MO 65212

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 Heather Martinez's NPI number?

The NPI number for Heather Martinez is 1710338272. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Heather Martinez located?

Heather Martinez practices at 1 Hospital Dr, Columbia, MO 65212. The listed phone number is (573) 882-2568.

What is Heather Martinez's specialty?

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

Is Heather Martinez enrolled in Medicare?

Yes. Heather 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 Heather Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Martinez reassigns Medicare benefits to 3 organizations: Questcare Hospitalists PLLC (Dallas, TX), Sound Inpatient Physicians Of Texas 1, Inc (Fort Worth, TX) and Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX). 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 Heather Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Martinez accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Heather 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.

Is Heather Martinez affiliated with any hospitals?

According to CMS data, Heather Martinez is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Martinez was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.