DEIRDRA V MARTIN (CRNP) – Family Nurse Practitioner, NPI 1356933360

DEIRDRA V MARTIN (CRNP) is a healthcare provider. based in Montgomery, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-149010 (AL). The NPI Number for DEIRDRA V MARTIN (CRNP) is 1356933360

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DEIRDRA V MARTIN (CRNP)
NPI
1356933360
Phone
(334) 240-2348
Address
1758 Park Pl Ste 406
Enumeration Date
10 February 2021
Last Update Date
14 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3346942262
Graduation Year
2020 (6 years ago)
PAC ID
4587050711
Group Practice PAC ID
9537521182
Professional Enrollment ID
I20220415000019
Address ID
AL361062531MO2948XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for DEIRDRA V MARTIN (CRNP)

  • 1758 Park Pl Ste 406

    Montgomery, AL 361061135

    Phone: (334) 240-2348

    Fax: (334) 240-2349

    Type: Location

  • PO BOX 241348

    MONTGOMERY, AL 361241348

    Phone: (334) 288-7808

    Fax: (334) 288-8089

    Type: Mailing

  • 488 SAINT LUKES DR

    MONTGOMERY, AL 361177104

    Phone: (334) 288-7808

    Fax: (334) 288-8089

    Type: Location

  • 1722 PINE ST STE 402

    MONTGOMERY, AL 361061159

    Phone: (334) 293-8736

    Fax: (334) 293-8738

    Type: Mailing

  • 1758 PARK PL STE 406

    MONTGOMERY, AL 361061135

    Phone: (334) 240-2348

    Fax: (334) 240-2349

    Type: Location

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 $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-02-13 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($52).

Total Amount

$145

General + Research + Ownership

Payments

8

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-13

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: 2022-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20220415000019INurse PractitionerALTBD

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 minutes109106$0
99442Telephone medical discussion with physician, 11-20 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 36106)

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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: 9537521182View full group profile
NameSpecialtyState
Family PracticeAL
Internal MedicineIL
Family PracticeAL
Family PracticeAL
Internal MedicineFL

Reviews

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Frequently asked questions

What unique ID ties claims to DEIRDRA V MARTIN (CRNP)?
NPI 1356933360 is assigned to DEIRDRA V MARTIN (CRNP) under the national enumeration system.
Is DEIRDRA V MARTIN (CRNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DEIRDRA V MARTIN (CRNP) treat or focus on?
Patients typically see DEIRDRA V MARTIN (CRNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for DEIRDRA V MARTIN (CRNP)?
The page summarizes Montgomery, Alabama for DEIRDRA V MARTIN (CRNP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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