HEATHER R MARTIN (FNP, ANRN) – Family Nurse Practitioner, NPI 1639130594

HEATHER R MARTIN (FNP, ANRN) is a healthcare provider. based in Anchorage, Alaska. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP, ANRN. They hold a License No. 839 (AK). The NPI Number for HEATHER R MARTIN (FNP, ANRN) is 1639130594

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER R MARTIN (FNP, ANRN)
NPI
1639130594
Phone
(907) 646-2559
Address
2440 E TUDOR RD
Enumeration Date
30 March 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9073733420
Graduation Year
2004 (22 years ago)
PAC ID
4284682246
Group Practice PAC ID
5496079394
Professional Enrollment ID
I20050106000128
Address ID
AK996547718WA5000XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

762 NURSE PRACTITIONER in AK

Provider Addresses for HEATHER R MARTIN (FNP, ANRN)

  • 2440, East Tudor Road, Anchorage, Alaska, 99507, United States

    PMB 1168

    ANCHORAGE, AK 995071185

    Phone: (907) 646-2559

    Fax: (907) 562-1319

    Type: Mailing

  • 17101 SNOWMOBILE LN ST 102

    PRIMARY CARE ASSOCIATES

    EAGLE RIVER, AK 99577

    Phone: (907) 694-7223

    Fax: (907) 696-5123

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-05-13 • Largest payer in this snapshot: Novo Nordisk Inc ($17).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-01-06

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
I20050106000128INurse PractitionerAKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99507)

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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: 5496079394View full group profile
NameSpecialtyState
-AK
Nurse PractitionerAK
O B S T E T R I C S/ G Y N E C O L O G YAK
Nurse PractitionerAK
Nurse PractitionerAK
Nurse PractitionerAK
Nurse PractitionerAK
Nurse PractitionerAK
Nurse PractitionerAK
Nurse PractitionerPA

Reviews

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Frequently asked questions

Is there an official ID for HEATHER R MARTIN (FNP, ANRN) in U.S. healthcare records?
The official identifier for HEATHER R MARTIN (FNP, ANRN) is NPI 1639130594.
Active or inactive — what applies to HEATHER R MARTIN (FNP, ANRN)?
You should see HEATHER R MARTIN (FNP, ANRN) as active in CMS-hosted NPPES data.
What expertise is attributed to HEATHER R MARTIN (FNP, ANRN)?
HEATHER R MARTIN (FNP, ANRN)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with HEATHER R MARTIN (FNP, ANRN)?
Directory geography for HEATHER R MARTIN (FNP, ANRN) centers on Anchorage, Alaska.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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