SUSANNAH MARTELL NP
NPI 1912358730
Nurse Practitioner - Family in Portland, OR

Active since June 22, 2016PECOS Enrolled
12121 E BURNSIDE ST, PORTLAND, OR 97216(971) 361-7700 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 10, 2025, Apr 25, 2024, Sep 14, 2016 and 1 more (4 updates tracked since 2016).

About Susannah Martell Np NPPES

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

SUSANNAH MARTELL NP (NPI 1912358730) is an individual family provider in Portland, Oregon, licensed in Oregon (201606933NP-PP) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912358730
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSANNAH MARTELLCredential: NP
Location Address12121 E BURNSIDE STPortland, OR 97216-3737
Mailing Address232 Nw 6th AvePortland, OR 97209-3609
Sole ProprietorNo
Enumeration DateJune 22, 2016
Last NPPES UpdateApril 18, 20254 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
NPI 1912358730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 201606933NP-PP
Also ListedRegistered NurseTaxonomy 163W00000X · License 099000190RN (OR), RN61068677 (WA)
12121 E BURNSIDE ST, Portland, OR 97216

Other Names 1

Other Name (5)Zannah Martell Np

Other Identifiers 1

Medicaid500716952OR

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 (PECOS)

Susannah Martell Np 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 97216 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Registered Nurse
12121 E BURNSIDE ST
PORTLAND, OR 97216
Counselor (Mental Health)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Counselor (Professional)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
12121 E BURNSIDE ST
PORTLAND, OR 97216
Counselor (Mental Health)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Social Worker (Clinical)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Nurse Practitioner (Psychiatric/Mental Health)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Registered Nurse
12121 E BURNSIDE ST
PORTLAND, OR 97216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912358730, enumerated as an "individual" on June 22, 2016.

The provider is located at 12121 E BURNSIDE ST PORTLAND, OR 97216 and the phone number is (971) 361-7700.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.