CAROL MARTIN
NPI 1952284028
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, NJ

Active since July 28, 2025PECOS Enrolled
191 SIERRA CT, WOODBRIDGE, NJ 07095(551) 326-0201 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carol Martin NPPES

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

CAROL MARTIN (NPI 1952284028) is an individual psychiatric/mental health provider in Woodbridge, New Jersey, licensed in New Jersey (26NJ15358700) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1952284028
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCAROL MARTIN
Location Address191 SIERRA CTWoodbridge, NJ 07095-1458
Mailing Address191 C Sierra CourtWoodbridge, NJ 07095-0000 · (551) 326-0201
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 28, 2025
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1952284028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ15358700
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 26NJ15358700 (NJ)
191 SIERRA CT, Woodbridge, NJ 07095

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol Martin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668977018
PECOS Enrollment IDI20250925003392
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.

Medicare Billing Reassignment

Medicare enrollment records show Carol Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
421 PENBROOKE DR, SUITE 12 A
Penfield, NY 14526
  • Reassigned Medicare billing, New York enrollment
  • 40 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07095 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Carol Martin's NPI number?

The NPI number for Carol Martin is 1952284028. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Carol Martin located?

Carol Martin practices at 191 Sierra Ct, Woodbridge, NJ 07095. The listed phone number is (551) 326-0201.

What is Carol Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carol Martin enrolled in Medicare?

Yes. Carol Martin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carol Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Martin reassigns Medicare benefits to Penfield Psychiatry PC (Penfield, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carol Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carol Martin was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.