DAWN R MARTINEZ DNP, RN, AGPCNP-BC
NPI 1831570340
Nurse Practitioner - Gerontology in Newport News, VA

Q: What is Dawn Martinez's NPI number?

The NPI number for Dawn Martinez is 1831570340. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Q: What is Dawn Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Dawn Martinez was last updated on October 5, 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 June 11, 2015PECOS EnrolledAccepts Medicare Assignment

94.07/100

CMS Quality Rating

1000 OLD DENBIGH BLVD, SUITE 1020A, NEWPORT NEWS, VA 23602(757) 875-2009(757) 369-1042 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dawn R Martinez Dnp, Rn, Agpcnp-bc NPPES

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

DAWN R MARTINEZ DNP, RN, AGPCNP-BC (NPI 1831570340) is an individual gerontology provider in Newport News, Virginia, licensed in Virginia (0024172652) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1831570340

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameDAWN R MARTINEZCredential: DNP, RN, AGPCNP-BC

Location Address1000 OLD DENBIGH BLVD, SUITE 1020ANewport News, VA 23602-2017

Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318 · (757) 594-4006

Phone(757) 875-2009

Fax(757) 369-1042

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 11, 2015

Last NPPES UpdateOctober 5, 2023

NPPES CertifiedOctober 5, 2023

✔ NPI 1831570340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in VA · 0024172652

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 0024172652 (VA)

1000 OLD DENBIGH BLVD, Newport News, VA 23602

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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

Dawn R Martinez Dnp, Rn, Agpcnp-bc 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 ID8022323344

PECOS Enrollment IDI20150817000576

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

Medicare enrollment records show Dawn Martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mid-Atlantic Post Acute & Long Term Care PLLC

27 mi

Geriatric Medicine

6160 KEMPSVILLE CIR STE 325A
Norfolk, VA 23502

Reassigned Medicare billing, Virginia enrollment
214 clinicians in this Medicare group

NPI 1225557556 (757) 354-2885

SE Virginia Value Based Care, LLC

27 mi

Geriatric Medicine

6160 KEMPSVILLE CIR STE 325A
Norfolk, VA 23502

Reassigned Medicare billing, Virginia enrollment
207 clinicians in this Medicare group

NPI 1225720501 (757) 354-2885

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

23 services16 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

21 services19 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

19 services15 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

19 services19 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23602 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

90.65

Promoting Interoperability

95.83

Improvement Activities

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEANA THORPE AGAC NP

Nurse Practitioner (Gerontology)

1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602

Newport News City (757) 875-2050

PATRICK HENRY HOSPITAL INC

Nursing Facility/Intermediate Care Facility

1000 OLD DENBIGH BLVD
NEWPORT NEWS, VA 23602

Newport News City (757) 875-2000

LYNN B ELLIS NP

Nurse Practitioner (Family)

1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602

Newport News City (757) 875-2009

JOSEPH LAWSON WARD MD

Family Medicine

1000 OLD DENBIGH BLVD
NEWPORT NEWS, VA 23602

Newport News City (757) 875-2000

TERESA L MCCONAUGHY MD

Family Medicine

1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602

Newport News City (757) 875-2050

BHARATI SRIVASTAVA M.D.

Internal Medicine (Geriatric Medicine)

1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602

Newport News City (757) 220-9000

SHARON NICOLA BISHOP AGPCNP-BC

Nurse Practitioner (Gerontology)

1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602

Newport News City (757) 875-2050

KARMA MARIE LAPACEK P.T.

Physical Therapist

1000 OLD DENBIGH BLVD
NEWPORT NEWS, VA 23602

Newport News City (757) 875-2000

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 Dawn Martinez's NPI number?

The NPI number for Dawn Martinez is 1831570340. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Dawn Martinez located?

Dawn Martinez practices at 1000 Old Denbigh Blvd Suite 1020A, Newport News, VA 23602. The listed phone number is (757) 875-2009.

What is Dawn Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Dawn Martinez enrolled in Medicare?

Yes. Dawn 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 Dawn Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Martinez reassigns Medicare benefits to 2 organizations: Mid-Atlantic Post Acute & Long Term Care PLLC (Norfolk, VA) and SE Virginia Value Based Care, LLC (Norfolk, VA). 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 Dawn Martinez'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 Dawn Martinez was last updated on October 5, 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.