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JESSE MARTIN FNP
NPI 1720873854
Nurse Practitioner - Family in Pueblo, CO

Active since April 10, 2025PECOS EnrolledAccepts Medicare Assignment
4112 OUTLOOK BLVD STE 2552ND, PUEBLO, CO 81008(719) 553-2235 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jesse Martin Fnp NPPES

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

JESSE MARTIN FNP (NPI 1720873854) is an individual family provider in Pueblo, Colorado, licensed in Colorado (APN.1000691-NP) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720873854
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJESSE MARTINCredential: FNP
Location Address4112 OUTLOOK BLVD STE 2552NDPueblo, CO 81008-1667
Mailing Address4112 Outlook Blvd Ste 2552ndPueblo, CO 81008-1667 · (719) 553-2235
Phone(719) 553-2235
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1720873854 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 CO · APN.1000691-NP
4112 OUTLOOK BLVD STE 2552ND, Pueblo, CO 81008
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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

Jesse Martin Fnp 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 ID2466970157
PECOS Enrollment IDI20250516000709
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81008 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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 Jesse Martin's NPI number?

The NPI number for Jesse Martin is 1720873854. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Jesse Martin located?

Jesse Martin practices at 4112 Outlook Blvd Ste 2552nd, Pueblo, CO 81008. The listed phone number is (719) 553-2235.

What is Jesse Martin's specialty?

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

Is Jesse Martin enrolled in Medicare?

Yes. Jesse Martin 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.

When was this NPI record last updated?

The NPPES record for Jesse Martin was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.