HARRISON MARTIN
NPI 1720704745
Nurse Practitioner - Family in Fort Wayne, IN

Q: What is Harrison Martin's NPI number?

The NPI number for Harrison Martin is 1720704745. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Q: What is Harrison Martin'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 Harrison Martin was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 12, 2022PECOS EnrolledAccepts Medicare Assignment

7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 969-7280(260) 458-3461 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2026, Jan 26, 2026, Oct 12, 2022 (3 updates tracked since 2022).

On this page

About Harrison Martin NPPES

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

HARRISON MARTIN (NPI 1720704745) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71013155A) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720704745

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameHARRISON MARTIN

Location Address7916 W JEFFERSON BLVDFort Wayne, IN 46804-4140

Mailing Address9321 Covington Woods CtFort Wayne, IN 46804-7771

Phone(260) 969-7280

Fax(260) 458-3461

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 12, 2022

Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2026

✔ NPI 1720704745 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 IN · 71013155A

7916 W JEFFERSON BLVD, Fort Wayne, IN 46804

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Harrison Martin 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 ID7214303817

PECOS Enrollment IDI20221024001186

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 Harrison Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lutheran Medical Group LLC

Same address

Cardiovascular Disease

7916 W JEFFERSON BLVD
Fort Wayne, IN 46804

Reassigned Medicare billing, Indiana enrollment
301 clinicians in this Medicare group

NPI 1164662805 (260) 432-2297

Sound Physicians Of Indiana, LLC

65 mi

Hospitalist

215 W 4TH ST, # 200
Mishawaka, IN 46544

Reassigned Medicare billing, Indiana enrollment
384 clinicians in this Medicare group

NPI 1356687164 (574) 252-2000

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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

663 services136 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

446 services127 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

67 services45 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

34 services22 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.

32 services32 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150017

Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Emergency services Birthing friendly

St Joseph Health System, LLC

Acute Care Hospitals · Fort Wayne, IN

OwnershipProprietary

CMS Certification Number150047

Location702 Van Buren StreetFort Wayne, IN 46802 · Allen County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

LISA R. STANLEY NP

Nurse Practitioner (Family)