SHANA LYNN MARTINEZ
NPI 1720618788
Nurse Practitioner - Family in Madrid, IA

Q: What is Shana Martinez's NPI number?

The NPI number for Shana Martinez is 1720618788. It was assigned to this individual provider in the NPPES registry on January 18, 2020.

Q: What is Shana Martinez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shana Martinez was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 18, 2020PECOS EnrolledAccepts Medicare Assignment

623 W NORTH STREET, MADRID, IA 50156(515) 795-4300(515) 795-4145 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2024, Jan 18, 2020 (2 updates tracked since 2020).

On this page

About Shana Lynn Martinez NPPES

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

SHANA LYNN MARTINEZ (NPI 1720618788) is an individual family provider in Madrid, Iowa, licensed in Iowa (A157506) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Boone County Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720618788

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANA LYNN MARTINEZ

Location Address623 W NORTH STREETMadrid, IA 50156-1023

Mailing Address1015 Union StreetBoone, IA 50036-4821 · (515) 248-1447 · Fax (515) 248-1440

Phone(515) 795-4300

Fax(515) 795-4145

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 18, 2020

Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration

NPPES CertifiedMarch 28, 2022

✔ NPI 1720618788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IA · A157506

623 W NORTH STREET, Madrid, IA 50156

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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

Shana Lynn Martinez 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 ID1658799697

PECOS Enrollment IDI20220329001554

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

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

Boone County Hospital

13 mi

Critical Access

1015 UNION ST
Boone, IA 50036

Reassigned Medicare billing, Iowa enrollment
41 clinicians in this Medicare group

NPI 1467434225 (515) 433-8470

Madrid Family Practice Clinic

15 mi

Family

623 W NORTH ST
Madrid, IA 50156

Reassigned Medicare billing, Iowa enrollment
9 clinicians in this Medicare group

NPI 1508882705 (515) 795-4300

Audubon County Memorial Hospital

58 mi

General Practice

107 S JEFFERSON ST
Exira, IA 50076

Reassigned Medicare billing, Iowa enrollment
33 clinicians in this Medicare group

NPI 1184888265 (712) 268-5348

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

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

Boone County Hospital

Critical Access Hospitals · Boone, IA

OwnershipGovernment - Local

CMS Certification Number161372

Location1015 Union StreetBoone, IA 50036 · Boone County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50156 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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

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

ABBY BENNETT DNP

Nurse Practitioner (Family)

623 W NORTH STREET
MADRID, IA 50156

Boone County (515) 795-4300

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 Shana Martinez's NPI number?

The NPI number for Shana Martinez is 1720618788. It was assigned to this individual provider in the NPPES registry on January 18, 2020.

Where is Shana Martinez located?

Shana Martinez practices at 623 W North Street, Madrid, IA 50156. The listed phone number is (515) 795-4300.

What is Shana Martinez's specialty?

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

Is Shana Martinez enrolled in Medicare?

Yes. Shana 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 Shana Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shana Martinez reassigns Medicare benefits to 3 organizations: Boone County Hospital (Boone, IA), Madrid Family Practice Clinic (Madrid, IA) and Audubon County Memorial Hospital (Exira, IA). 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 Shana Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shana Martinez accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Shana 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 Shana Martinez affiliated with any hospitals?

According to CMS data, Shana Martinez is affiliated with Boone County Hospital.

When was this NPI record last updated?

The NPPES record for Shana Martinez was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.