SHEILA A MARTIN RNP
NPI 1891088480
Nurse Practitioner - Adult Health in Providence, RI

Q: What is Sheila Martin's NPI number?

The NPI number for Sheila Martin is 1891088480. It was assigned to this individual provider in the NPPES registry on May 16, 2011. The provider is also known as Sheila A Boyle Rnp.

Q: What is Sheila Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Sheila Martin was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 16, 2011PECOS EnrolledAccepts Medicare Assignment

164 SUMMIT AVE, ROOM C70, PROVIDENCE, RI 02906(401) 793-3922(401) 435-7069 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sheila A Martin Rnp NPPES

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

SHEILA A MARTIN RNP (NPI 1891088480) is an individual adult health provider in Providence, Rhode Island, licensed in Rhode Island (APRN00522) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1891088480

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSHEILA A MARTINCredential: RNP

Location Address164 SUMMIT AVE, ROOM C70Providence, RI 02906-2853

Mailing AddressPo Box 16149Rumford, RI 02916-0697 · (401) 854-2428 · Fax (401) 435-7069

Phone(401) 793-3922

Fax(401) 435-7069

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 16, 2011

Last NPPES UpdateJanuary 29, 2020

✔ NPI 1891088480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LA2200X

Licenses✔ Licensed in RI · APRN00522✔ Licensed in RI · NPP37609

164 SUMMIT AVE, Providence, RI 02906

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Other Names 1

Former Name (1)Sheila A Boyle Rnp

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

Sheila A Martin Rnp 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 ID5395923270

PECOS Enrollment IDI20110623000440

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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

34 services25 patients

Hospital Affiliations CMS Care Compare

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

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

Other Providers at the Same Location NPPES 20

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

MRS. HALINA KUC-MAZGAJ

Nurse Practitioner (Family)

164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906

Providence County (401) 793-3902

KARL HERMAN M.D.

Internal Medicine

164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MUHAMMAD BAIG M.D.

Internal Medicine (Cardiovascular Disease)

164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MS. LEANNE LAPARLE LICSW

Social Worker (Clinical)