DELENA MARTINEZ FNP-C
NPI 1851957591
Nurse Practitioner - Family in Abilene, TX

Active since May 17, 2019PECOS EnrolledAccepts Medicare Assignment
73.1/100
CMS Quality Rating
5302 BUFFALO GAP RD STE 104, ABILENE, TX 79606(325) 307-6226(325) 307-6288 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2021, May 17, 2019 (2 updates tracked since 2019).

About Delena Martinez Fnp-c NPPES

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

DELENA MARTINEZ FNP-C (NPI 1851957591) is an individual family provider in Abilene, Texas, licensed in Texas (AP140973) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Hendrick Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1851957591
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDELENA MARTINEZCredential: FNP-C
Location Address5302 BUFFALO GAP RD STE 104Abilene, TX 79606-4251
Mailing Address5302 Buffalo Gap Rd Ste 104Abilene, TX 79606-4251 · (325) 307-6226 · Fax (325) 307-6288
Fax(325) 307-6288
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 17, 2019
Last NPPES UpdateFebruary 12, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2021
NPI 1851957591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP140973
5302 BUFFALO GAP RD STE 104, Abilene, TX 79606

Accepted Insurance

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

Delena Martinez Fnp-c 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 ID5799019451
PECOS Enrollment IDI20190628002567
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
488 services137 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
170 services82 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450229
Location1900 PineAbilene, TX 79601 · Taylor County
Emergency services Birthing friendly

Hendrick Medical Center Brownwood

Acute Care Hospitals · Brownwood, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450587
Location1501 Burnet DrBrownwood, TX 76801 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79606 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

73.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.26
Promoting Interoperability100
Improvement Activities40
Cost47.09

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
5302 BUFFALO GAP RD STE 104
ABILENE, TX 79606
Anesthesiology (Pain Medicine)
5302 BUFFALO GAP RD STE 104
ABILENE, TX 79606
Anesthesiology (Pain Medicine)
5302 BUFFALO GAP RD STE 104
ABILENE, TX 79606
Internal Medicine
5302 BUFFALO GAP RD STE 104
ABILENE, TX 79606
Family Medicine
5302 BUFFALO GAP RD STE 104
ABILENE, TX 79606

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 Delena Martinez's NPI number?

The NPI number for Delena Martinez is 1851957591. It was assigned to this individual provider in the NPPES registry on May 17, 2019.

Where is Delena Martinez located?

Delena Martinez practices at 5302 Buffalo Gap Rd Ste 104, Abilene, TX 79606. The listed phone number is (325) 307-6226.

What is Delena Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Delena Martinez enrolled in Medicare?

Yes. Delena 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.

What insurance does Delena Martinez accept?

Health plans from Blue Cross and Blue Shield of Texas list Delena Martinez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Delena Martinez affiliated with any hospitals?

According to CMS data, Delena Martinez is affiliated with Hendrick Medical Center and Hendrick Medical Center Brownwood.

When was this NPI record last updated?

The NPPES record for Delena Martinez was last updated on February 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.