SUSAN K MARTEN NP
NPI 1992771844
Nurse Practitioner in Madison, WI

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
5249 E TERRACE DR, MADISON, WI 53718(608) 265-1200(608) 265-1207 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan K Marten Np NPPES

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

SUSAN K MARTEN NP (NPI 1992771844) is an individual nurse practitioner in Madison, Wisconsin, licensed in Wisconsin (303) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1992771844
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN K MARTENCredential: NP
Location Address5249 E TERRACE DRMadison, WI 53718
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 265-1207
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateFebruary 28, 2006
Last NPPES UpdateApril 28, 2009
NPI 1992771844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 303
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5249 E TERRACE DR, Madison, WI 53718

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan K Marten Np 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.

PECOS PAC ID1355515123
PECOS Enrollment IDI20111114000793
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services117 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services107 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53718 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Physician Assistant
5249 E TERRACE DR
MADISON, WI 53718
Social Worker (Clinical)
5249 E TERRACE DR
MADISON, WI 53718
Psychologist
5249 E TERRACE DR
MADISON, WI 53718
Social Worker
5249 E TERRACE DR
MADISON, WI 53718
Pharmacy
5249 E TERRACE DR, SUITE 9951
MADISON, WI 53718
Psychiatry & Neurology (Psychiatry)
5249 E TERRACE DR
MADISON, WI 53718
Nurse Practitioner
5249 E TERRACE DR
MADISON, WI 53718
Anesthesiology (Pain Medicine)
5249 E TERRACE DR
MADISON, WI 53718

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 Susan Marten's NPI number?

The NPI number for Susan Marten is 1992771844. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Susan Marten located?

Susan Marten practices at 5249 E Terrace Dr, Madison, WI 53718. The listed phone number is (608) 265-1200.

What is Susan Marten's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Susan Marten enrolled in Medicare?

Yes. Susan Marten 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.

What insurance does Susan Marten accept?

Health plans from Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners, Quartz and Security Health Plan list Susan Marten 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.

Is Susan Marten affiliated with any hospitals?

According to CMS data, Susan Marten is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Susan Marten was last updated on April 28, 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.