NICOLE JOANNE MARTINEZ
NPI 1821748559
Student in an Organized Health Care Education/Training Program in Beavercreek, OH

Q: What is Nicole Martinez's NPI number?

The NPI number for Nicole Martinez is 1821748559. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Nicole Martinez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Martinez was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 March 25, 2022PECOS Enrolled

2145 N FAIRFIELD RD STE 100, BEAVERCREEK, OH 45431(937) 558-3900 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicole Joanne Martinez NPPES

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

NICOLE JOANNE MARTINEZ (NPI 1821748559) is an individual student in an organized health care education/training program in Beavercreek, Ohio and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821748559

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNICOLE JOANNE MARTINEZ

Location Address2145 N FAIRFIELD RD STE 100Beavercreek, OH 45431-2783

Mailing Address2145 N Fairfield Rd Ste 100Beavercreek, OH 45431-2783 · (937) 558-3900

Phone(937) 558-3900

Sole ProprietorYes

Enumeration DateMarch 25, 2022

Last NPPES UpdateApril 19, 2023

NPPES CertifiedApril 18, 2023

✔ NPI 1821748559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License R-12687 (IA)

2145 N FAIRFIELD RD STE 100, Beavercreek, OH 45431

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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 (PECOS)

Nicole Joanne Martinez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MATEO ALBERTO LEAL RODRIGUEZ MD

Student in an Organized Health Care Education/Training Program