JESSE MARTIN FNP
NPI 1720873854
Nurse Practitioner - Family in Pueblo, CO
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jesse Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pueblo, CO 81008
- Reassigned Medicare billing, Colorado enrollment
- 49 clinicians in this Medicare group
Highlands Ranch, CO 80126
- Reassigned Medicare billing, Colorado enrollment
- 205 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 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.
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.
Which organizations bill Medicare for Jesse Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Martin reassigns Medicare benefits to 2 organizations: Southern Colorado Clinic PC (Pueblo, CO) and The Little Clinic Of Colorado, LLC (Highlands Ranch, CO). 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 Jesse Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 19 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.
# Jesse Martin, FNP · NPI 1720873854
Family physician in Pueblo, Colorado. Individual provider, active in the CMS NPPES registry since April 10, 2025.
## Identity
- **NPI:** 1720873854 (Entity type: Individual)
- **Enumerated:** April 10, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN.1000691-NP (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4112 OUTLOOK BLVD STE 2552ND, Pueblo, CO 81008-1667
- **Phone:** (719) 553-2235
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Southern Colorado Clinic PC (NPI 1285613554, Pueblo, CO); The Little Clinic Of Colorado, LLC (NPI 1538354568, Highlands Ranch, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720873854) · Data from the CMS NPPES public registry.