MRS. MIKAELA JOY MARI MARTIN MD
NPI 1912846478
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since March 27, 2026PECOS Enrolled
380 PARKLAND PLAZA ANN ARBOR, STE 110 FLOOR 1, ANN ARBOR, MI 48103(734) 936-4000(734) 539-5080 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Mar 27, 2026 (2 updates tracked since 2026).

About Mrs. Mikaela Joy Mari Martin Md NPPES

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

MRS. MIKAELA JOY MARI MARTIN MD (NPI 1912846478) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351055616) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912846478
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. MIKAELA JOY MARI MARTINCredential: MD
Location Address380 PARKLAND PLAZA ANN ARBOR, STE 110 FLOOR 1Ann Arbor, MI 48103
Mailing Address1200 E Hospital Dr., D3230Ann Arbor, MI 48109 · (734) 647-1774
Fax(734) 539-5080
Sole ProprietorYes
Enumeration DateMarch 27, 2026
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1912846478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351055616
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
380 PARKLAND PLAZA ANN ARBOR, Ann Arbor, MI 48103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Mikaela Joy Mari Martin Md 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.

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 Mikaela Joy Martin's NPI number?

The NPI number for Mikaela Joy Martin is 1912846478. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Mikaela Joy Martin located?

Mikaela Joy Martin practices at 380 Parkland Plaza Ann Arbor Ste 110 Floor 1, Ann Arbor, MI 48103. The listed phone number is (734) 936-4000.

What is Mikaela Joy Martin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mikaela Joy Martin enrolled in Medicare?

Yes. Mikaela Joy Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mikaela Joy Martin was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.