NICOLE MARIE MARTIN CRNP
NPI 1972068930
Nurse Practitioner - Family in Jermyn, PA
About Nicole Marie Martin Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE MARIE MARTIN CRNP (NPI 1972068930) is an individual family provider in Jermyn, Pennsylvania, licensed in Florida (APRN11017188) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Marie Martin Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19122
- Reassigned Medicare billing, Connecticut, Florida, Pennsylvania and Washington enrollments
- Medicare enrollment name: Ophelia Medical Group Fl PA
- 7 clinicians in this Medicare group
Hendersonville, TN 37075
- Reassigned Medicare billing, Tennessee enrollment
- 65 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JERMYN, PA 18433
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 Nicole Martin's NPI number?
The NPI number for Nicole Martin is 1972068930. It was assigned to this individual provider in the NPPES registry on February 4, 2019.
Where is Nicole Martin located?
Nicole Martin practices at 5 S Washington Ave, Jermyn, PA 18433. The listed phone number is (570) 417-8407.
What is Nicole Martin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Martin enrolled in Medicare?
Yes. Nicole Martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nicole Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Martin reassigns Medicare benefits to 2 organizations: Ophelia Medical Group Fl, P.A. (Philadelphia, PA) and Infusion Express Of Tennessee, PC (Hendersonville, TN). Each 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 Nicole Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Martin accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma list Nicole Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nicole Martin was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nicole Marie Martin, CRNP · NPI 1972068930
Family physician in Jermyn, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 4, 2019.
## Identity
- **NPI:** 1972068930 (Entity type: Individual)
- **Enumerated:** February 4, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11017188 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 5 S WASHINGTON AVE, Jermyn, PA 18433-1121
- **Phone:** (570) 417-8407
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ophelia Medical Group Fl, P.A. (NPI 1588244750, Philadelphia, PA); Infusion Express Of Tennessee, PC (NPI 1003379108, Hendersonville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972068930) · Data from the CMS NPPES public registry.