SHELLEY CHARMAINE MARTIN (CNP) – Nurse Practitioner, NPI 1003363201

SHELLEY CHARMAINE MARTIN (CNP) is a healthcare provider. based in Irvington, Alabama. specializing in Nurse Practitioner. They hold the professional credentials CNP. They hold a License No. 1-086060 (AL). The NPI Number for SHELLEY CHARMAINE MARTIN (CNP) is 1003363201

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SHELLEY CHARMAINE MARTIN (CNP)
NPI
1003363201
Phone
(251) 824-2174
Address
12701 PADGETT SWITCH RD
Enumeration Date
6 September 2016
Last Update Date
12 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
25182421745412
Graduation Year
2016 (10 years ago)
PAC ID
4981984309
Group Practice PAC ID
3577472810
Professional Enrollment ID
I20161130002661
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for SHELLEY CHARMAINE MARTIN (CNP)

  • 12701 PADGETT SWITCH RD

    IRVINGTON, AL 365444011

    Phone: (251) 824-2174

    Type: Mailing

  • 12917 WALTER LEE CIR N

    GRAND BAY, AL 365415030

    Phone:

    Type: Mailing

  • 1240 JESSE JEWELL PKWY SE STE 500

    GAINESVILLE, GA 305013861

    Phone: (770) 536-9864

    Fax: (770) 297-5025

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Janssen Biotech, Inc. ($74).

Total Amount

$141

General + Research + Ownership

Payments

8

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161130002661INurse PractitionerALTBD
I20230822000724INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes189170$0
99213Established patient office or other outpatient visit, 20-29 minutes5655$0
36415Insertion of needle into vein for collection of blood sample4945$0
96372Injection of drug or substance under skin or into muscle4236$0
81001Manual urinalysis test with examination using microscope, automated4039$0
View full utilization report →

Insurance plans in this area (ZIP 36544)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577472810View full group profile
NameSpecialtyState
Nurse PractitionerAL
Clinical Social WorkerAL
Nurse PractitionerAL
Nurse PractitionerAL
Internal Medicine, Emergency MedicineAL
Clinical Social WorkerAL
O P T O M E T R YAL
Family PracticeMS
Nurse PractitionerAL
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the standard ID for SHELLEY CHARMAINE MARTIN (CNP) in the U.S.?
In the U.S., SHELLEY CHARMAINE MARTIN (CNP) is identified by NPI 1003363201.
Should I treat SHELLEY CHARMAINE MARTIN (CNP) as an active provider?
Patients and plans typically see SHELLEY CHARMAINE MARTIN (CNP) as active in the national extract.
How should patients interpret SHELLEY CHARMAINE MARTIN (CNP)'s specialty?
The extract shows Nurse Practitioner for SHELLEY CHARMAINE MARTIN (CNP). Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHELLEY CHARMAINE MARTIN (CNP)?
SHELLEY CHARMAINE MARTIN (CNP) is associated with Irvington, Alabama in the same public data insurers reference.
Who maintains SHELLEY CHARMAINE MARTIN (CNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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