KRISTY MARTIN FNP-BC
NPI 1790152973
Nurse Practitioner - Acute Care in West Valley City, UT
About Kristy Martin Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTY MARTIN FNP-BC (NPI 1790152973) is an individual acute care provider in West Valley City, Utah, licensed in Utah (9484112-4405) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Magna.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristy Martin Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristy Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Taylorsville, UT 84129
- Reassigned Medicare billing, Utah enrollment
- 295 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 84120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST VALLEY CITY, UT 84120
WEST VALLEY CITY, UT 84120
WEST VALLEY CITY, UT 84120
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 Kristy Martin's NPI number?
The NPI number for Kristy Martin is 1790152973. It was assigned to this individual provider in the NPPES registry on August 24, 2015.
Where is Kristy Martin located?
Kristy Martin practices at 2750 S 5600 W, West Valley City, UT 84120. The listed phone number is (801) 417-5732.
What is Kristy Martin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kristy Martin enrolled in Medicare?
Yes. Kristy Martin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristy Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristy Martin reassigns Medicare benefits to University Of Utah Community Physicians Group (Taylorsville, UT). The 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 Kristy 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 Kristy Martin was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kristy Martin, FNP-BC · NPI 1790152973
Acute Care physician in West Valley City, Utah. Individual provider, active in the CMS NPPES registry since August 24, 2015.
## Identity
- **NPI:** 1790152973 (Entity type: Individual)
- **Enumerated:** August 24, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 9484112-4405 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2750 S 5600 W, West Valley City, UT 84120-1249
- **Phone:** (801) 417-5732
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Utah Community Physicians Group (NPI 1932503646, Taylorsville, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790152973) · Data from the CMS NPPES public registry.