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KAREN MARTINEZ
NPI 1780492330
Nurse Practitioner - Psychiatric/Mental Health in Mission, TX

Active since December 27, 2024PECOS EnrolledAccepts Medicare Assignment
1808 W 31ST 1/2 ST, MISSION, TX 78574(956) 222-3033 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen Martinez NPPES

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

KAREN MARTINEZ (NPI 1780492330) is an individual psychiatric/mental health provider in Mission, Texas, licensed in Texas (1183663) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1780492330
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAREN MARTINEZ
Location Address1808 W 31ST 1/2 STMission, TX 78574-8076
Mailing Address1808 W 31st 1/2 StMission, TX 78574-8076 · (956) 222-3033
Phone(956) 222-3033
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 27, 2024
NPPES CertifiedDecember 25, 2024
✔ NPI 1780492330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1183663
1808 W 31ST 1/2 ST, Mission, TX 78574
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Cigna HealthCare of Florida, Inc. 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

Karen 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 ID1759818784
PECOS Enrollment IDI20250102002088, I20250721001371
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

4

Medicare enrollment records show Karen Martinez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry Of Texas PLLC
308 mi
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Florida and Texas enrollments
  • 172 clinicians in this Medicare group
NPI 1013476027 (832) 869-4818
Psychplus Medical Associates, PLLC
308 mi
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Florida and Texas enrollments
  • 166 clinicians in this Medicare group
NPI 1558118026 (832) 869-4818
Florida United Psych PLLC
983 mi
Psychiatry
4700 N HABANA AVE STE 601
Tampa, FL 33614
  • Reassigned Medicare billing, Florida enrollment
  • 127 clinicians in this Medicare group
NPI 1205702339 (201) 706-1143
Psychiatric Nurse Practitioner P.C
1,715 mi
Psychiatric/Mental Health
245 5TH AVE FL 3
New York, NY 10016
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Psychiatric Nurse Practitioner PC
  • 3 clinicians in this Medicare group
NPI 1518595727 (718) 757-0684

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 78574 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Karen Martinez's NPI number?

The NPI number for Karen Martinez is 1780492330. It was assigned to this individual provider in the NPPES registry on December 27, 2024.

Where is Karen Martinez located?

Karen Martinez practices at 1808 W 31st 1/2 St, Mission, TX 78574. The listed phone number is (956) 222-3033.

What is Karen Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Karen Martinez enrolled in Medicare?

Yes. Karen 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 Karen Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Martinez reassigns Medicare benefits to 4 organizations: Psychiatry Of Texas PLLC (Houston, TX), Psychplus Medical Associates, PLLC (Houston, TX), Florida United Psych PLLC (Tampa, FL) and Psychiatric Nurse Practitioner P.C (New York, NY). 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 Karen Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Martinez accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Karen 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.

When was this NPI record last updated?

The NPPES record for Karen Martinez was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.