DESHAE MARTIN NURSE PRACTITIONER
NPI 1861945719
Nurse Practitioner - Community Health in Brandon, FL

Q: What is Deshae Martin's NPI number?

The NPI number for Deshae Martin is 1861945719. It was assigned to this individual provider in the NPPES registry on July 27, 2016.

Q: What is Deshae Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Q: When was this NPI record last updated?

The NPPES record for Deshae Martin was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 27, 2016PECOS Enrolled

110 LITHIA PINECREST RD STE B, BRANDON, FL 33511(813) 679-5122 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2021, Jun 11, 2021, Sep 29, 2020 (3 updates tracked since 2020).

On this page

About Deshae Martin Nurse Practitioner NPPES

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

DESHAE MARTIN NURSE PRACTITIONER (NPI 1861945719) is an individual community health provider in Brandon, Florida, licensed in Florida (9303768) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ruskin.

NPPES Registry Identity

NPI1861945719

Entity TypeIndividualFemale

Primary Taxonomy363LC1500X

Provider Legal NameDESHAE MARTINCredential: NURSE PRACTITIONER

Location Address110 LITHIA PINECREST RD STE BBrandon, FL 33511-5300

Mailing Address2105 Roanoke Springs DrRuskin, FL 33570-6312 · (813) 585-7708

Phone(813) 679-5122

Sole ProprietorYes

Enumeration DateJuly 27, 2016

Last NPPES UpdateAugust 16, 20213 updates tracked since enumeration

NPPES CertifiedAugust 16, 2021

✔ NPI 1861945719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC1500X

License✔ Licensed in FL · 9303768

Also ListedInternal Medicine · Clinical & Laboratory ImmunologyTaxonomy 207RI0001X · License 9303768 (FL)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 9303768 (FL)

110 LITHIA PINECREST RD STE B, Brandon, FL 33511

Open in Google Maps ↗

Secondary Practice Location 1

Location 12105 Roanoke Springs DrRuskin, FL 33570-6312 · Phone (813) 585-7708

Other Identifiers 1

Medicaid019436600FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deshae Martin Nurse Practitioner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%101 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BAY AREA DIRECT CLIENT CARE LLC

In Home Supportive Care