JENNIFER ANN MARTIN (MD) – Family Medicine Physician, NPI 1124448543

JENNIFER ANN MARTIN (MD) is a healthcare provider. based in Bayfield, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. DR.0074733 (CO). The NPI Number for JENNIFER ANN MARTIN (MD) is 1124448543

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ANN MARTIN (MD)
NPI
1124448543
Phone
(970) 764-9150
Address
480 Wolverine Dr Ste 3
Enumeration Date
24 April 2014
Last Update Date
27 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
9707649150
Graduation Year
2013 (13 years ago)
PAC ID
9133448913
Group Practice PAC ID
1052214814
Professional Enrollment ID
I20250304003904
Address ID
CO811229653BA480XXDRXX301
Telehealth
Yes

Contacts

Secure Messaging
jmartin178971@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

2,660 FAMILY PRACTICE in CO

Provider Addresses for JENNIFER ANN MARTIN (MD)

  • 480 Wolverine Dr Ste 3

    Bayfield, CO 811229653

    Phone: (970) 764-9150

    Fax: (970) 764-9159

    Type: Location

  • 825 N MAIN ST STE 140

    SPRINGBORO, OH 450662100

    Phone: (937) 762-5000

    Fax: (937) 762-5099

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-03-04

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
I20170626002580IFamily PracticeOHTBD
I20250304003904IFamily PracticeCOTBD

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 minutes160103$0
99213Established patient office or other outpatient visit, 20-29 minutes123100$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8989$0
83036Hemoglobin a1c level4425$0
G0008Administration of influenza virus vaccine2019$0
View full utilization report →

Insurance plans in this area (ZIP 81122)

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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: 1052214814View full group profile
NameSpecialtyState
Internal MedicineWA
Nurse PractitionerNM
-NM
Nurse PractitionerCO
-CO
Internal MedicineCO
Nurse PractitionerWY
Family PracticeCO
Physician AssistantLA
Family PracticeNV

Reviews

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Frequently asked questions

How do I look up JENNIFER ANN MARTIN (MD) by NPI?
Use NPI 1124448543 when you need to reference JENNIFER ANN MARTIN (MD) in forms, claims, or directories.
Is JENNIFER ANN MARTIN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JENNIFER ANN MARTIN (MD)?
The page reflects Family Medicine Physician for JENNIFER ANN MARTIN (MD). Clinical services aligned with this taxonomy classification.
What location shows for JENNIFER ANN MARTIN (MD)?
We surface Bayfield, Colorado for JENNIFER ANN MARTIN (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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