THEODORE DALE MARTIN CRNP
NPI 1841025418
Nurse Practitioner - Family in Erie, PA
About Theodore Dale Martin Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE DALE MARTIN CRNP (NPI 1841025418) is an individual family provider in Erie, Pennsylvania, licensed in Pennsylvania (SP030516) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theodore Dale Martin Crnp 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16509 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Theodore Martin's NPI number?
The NPI number for Theodore Martin is 1841025418. It was assigned to this individual provider in the NPPES registry on September 4, 2024.
Where is Theodore Martin located?
Theodore Martin practices at 7200 Peach St Unit 16, Erie, PA 16509. The listed phone number is (814) 877-4110.
What is Theodore Martin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theodore Martin enrolled in Medicare?
Yes. Theodore Martin 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.
When was this NPI record last updated?
The NPPES record for Theodore Martin was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Theodore Dale Martin, CRNP · NPI 1841025418
Family physician in Erie, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 4, 2024.
## Identity
- **NPI:** 1841025418 (Entity type: Individual)
- **Enumerated:** September 4, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP030516 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 7200 PEACH ST UNIT 16, Erie, PA 16509-4756
- **Phone:** (814) 877-4110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1841025418) · Data from the CMS NPPES public registry.