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FITZ MARTIN
NPI 1972142669
Nurse Practitioner - Psychiatric/Mental Health in Media, PA

Active since December 30, 2019PECOS Enrolled
1055 E BALTIMORE PIKE STE 303, MEDIA, PA 19063(610) 892-3800(267) 282-3872 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2025, Dec 30, 2019 (2 updates tracked since 2019).

About Fitz Martin NPPES

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

FITZ MARTIN (NPI 1972142669) is an individual psychiatric/mental health provider in Media, Pennsylvania, licensed in Pennsylvania (SP021299) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972142669
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameFITZ MARTIN
Location Address1055 E BALTIMORE PIKE STE 303Media, PA 19063-5173
Mailing AddressPo Box 422Wynnewood, PA 19096-0422 · (610) 674-0110
Phone(610) 892-3800
Fax(267) 282-3872
Sole ProprietorNo
Enumeration DateDecember 30, 2019
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1972142669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP021299
1055 E BALTIMORE PIKE STE 303, Media, PA 19063
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fitz Martin 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Fitz Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beacon Of Balance
9.3 mi
Psychiatric/Mental Health
1062 E LANCASTER AVE
Bryn Mawr, PA 19010
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1134006745 (610) 674-0110
Mental Health Specialty Group PA
330 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 111 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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 19063 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 4

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

STACEY MARIE GILL LCSW
Social Worker (Clinical)
1055 E BALTIMORE PIKE STE 303
MEDIA, PA 19063
Delaware County (267) 807-3169
KATIE CRAIG MS, LPC
Counselor (Professional)
1055 E BALTIMORE PIKE STE 303
MEDIA, PA 19063
Delaware County (484) 468-1412
MR. DOUGLAS C ACHTERT MSS, LSW
Social Worker (Clinical)
1055 E BALTIMORE PIKE STE 303
MEDIA, PA 19063
Delaware County (610) 892-3800
DELAWARE COUNTY PROFESSIONAL SERVICES, INC
Psychiatry & Neurology (Psychiatry)
1055 E BALTIMORE PIKE STE 303
MEDIA, PA 19063
Delaware County (610) 892-3800

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 Fitz Martin's NPI number?

The NPI number for Fitz Martin is 1972142669. It was assigned to this individual provider in the NPPES registry on December 30, 2019.

Where is Fitz Martin located?

Fitz Martin practices at 1055 E Baltimore Pike Ste 303, Media, PA 19063. The listed phone number is (610) 892-3800.

What is Fitz Martin's specialty?

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

Is Fitz Martin enrolled in Medicare?

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

Which organizations bill Medicare for Fitz Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fitz Martin reassigns Medicare benefits to 2 organizations: Beacon Of Balance (Bryn Mawr, PA) and Mental Health Specialty Group PA (Durham, NC). 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 Fitz 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 Fitz Martin was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.