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

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: July 19, 2026.

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 and maintains a secondary practice location in Iowa City.

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
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

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

Secondary Practice Location 1

Location 1200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 356-3396

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.

Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Family Medicine
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Family Medicine
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Family Medicine
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821748559, enumerated as an "individual" on March 25, 2022.

The provider is located at 2145 N FAIRFIELD RD STE 100 BEAVERCREEK, OH 45431 and the phone number is (937) 558-3900.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.