ELISSA E MARTIN CNP
NPI 1982654653
Nurse Practitioner - Family in Anna, OH

Active since May 11, 2006
104 DIAMOND DRIVE, ANNA, OH 45302(937) 394-2900(937) 394-3602 Get Directions Write a Review

NPPES record last updated: July 21, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elissa E Martin Cnp NPPES

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

ELISSA E MARTIN CNP (NPI 1982654653) is an individual family provider in Anna, Ohio, licensed in Ohio (COA-08452-NP) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1982654653
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELISSA E MARTINCredential: CNP
Location Address104 DIAMOND DRIVEAnna, OH 45302
Mailing Address915 West Michigan StSidney, OH 45365-2401 · (937) 394-2900 · Fax (937) 394-3602
Fax(937) 394-3602
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateJuly 21, 2009
NPI 1982654653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · COA-08452-NP
104 DIAMOND DRIVE, Anna, OH 45302

Other Identifiers 3

Medicare PINNP19441OH
Medicaid2622782OH
Medicare UPINQ55068OH

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 Elissa Martin's NPI number?

The NPI number for Elissa Martin is 1982654653. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Elissa Martin located?

Elissa Martin practices at 104 Diamond Drive, Anna, OH 45302. The listed phone number is (937) 394-2900.

What is Elissa Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elissa Martin was last updated on July 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.