DR. ARDIS CAPPRICE MARTIN M.D. NPI 1831237098

Psychiatry & Neurology (Child & Adolescent Psychiatry) in Colorado Springs, CO

NPI 1831237098 Individual Female Psychiatry & Neurology Child & Adolescent Psychiatry PECOS Enrolled Opted-Out Medicare

About ARDIS MARTIN

Ardis Martin is a provider established in Colorado Springs, Colorado and her medical specialization is psychiatry & neurology (child & adolescent psychiatry) . The NPI number of Ardis Martin is 1831237098 and was assigned on February 2007. The practitioner's primary taxonomy code is 2084P0804X with license number 42787 (CO). The provider is registered as an individual and her NPI record was last updated 7 years ago.

Ardis Martin is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Ardis Martin is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ardis Martin opted out of Medicare effective on 12-01-2016 until 12-01-2022. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

NPI

1831237098

Provider NameDR. ARDIS CAPPRICE MARTIN M.D.
Provider Location Address4740 FLINTRIDGE DR SUITE 214 COLORADO SPRINGS, CO 80918
Provider Mailing Address4740 FLINTRIDGE DR SUITE 214 COLORADO SPRINGS, CO 80918
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date02-01-2007
Last Update Date04-04-2014


Primary Taxonomy

Taxonomy Code2084P0804X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationChild & Adolescent Psychiatry
License No.42787
License StateCO
Taxonomy DescriptionChild & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Business Address

DR. ARDIS CAPPRICE MARTIN M.D.
4740 FLINTRIDGE DR
SUITE 214
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 357-7617

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Mailing Address

DR. ARDIS CAPPRICE MARTIN M.D.
4740 FLINTRIDGE DR
SUITE 214
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 357-7617



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Opted-Out of MedicareYes
Opt-Out Effective Date12-01-2016
Opt-Out End Date12-01-2022
Eligible to Order and ReferYes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry42787CONo

Taxonomy Description: a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
14636239MEDICAID (05)CO
20009MEDICARE PIN (08)CO
130289MEDICARE UPIN (02)CO

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023294709MAKANA WELLNESS, INC.
Organization
Chiropractor4740 FLINTRIDGE DR SUITE 216
COLORADO SPRINGS, CO 80918
(719) 594-0071
1174859607A COACH FOR ME
Organization
Nutritionist (Nutrition, Education)4740 FLINTRIDGE DR STE 201
COLORADO SPRINGS, CO 80918
(719) 510-6313
1598039174ACM PSYCHIATRIC CONSULTANTS, LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))4740 FLINTRIDGE DR SUITE 214
COLORADO SPRINGS, CO 80918
(719) 357-7617
1235482415BRAIN DEVELOPMENT CENTERS OF COLORADO
Organization
Internal Medicine4740 FLINTRIDGE DR SUITE 101
COLORADO SPRINGS, CO 80918
(719) 375-1788
1265981278 TAMARA SHELLEE LATHAM LCSW
Individual
Social Worker (Clinical)4740 FLINTRIDGE DR STE 200O
COLORADO SPRINGS, CO 80918
(719) 357-1810

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.