NICOLE L MARTIN (APRN) – Adult Health Nurse Practitioner, NPI 1154092344
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
17,004 NURSE PRACTITIONER in NY
Provider Addresses for NICOLE L MARTIN (APRN)
67 MAPLE AVE
DERBY, CT 064181328
Phone:
Type: Mailing
1152 ORCHID CIR
BELLPORT, NY 117133006
Phone: (631) 561-8114
Type: Mailing
30 QUAKER FARMS RD STE 1
SOUTHBURY, CT 064882732
Phone: (203) 262-9300
Fax: (203) 264-2696
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 164 Open Payments records for all available years, with a total value of $3,085.
Total Amount is formed as General ($3,085) + Research ($0) + Ownership ($0) = $3,085.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($547).
Total Amount
$3,085
General + Research + Ownership
Payments
164
Total payment records
General Amount
$3,085
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $547 |
| ABBVIE INC. | $536 |
| GlaxoSmithKline, LLC. | $371 |
| Exact Sciences Corporation | $324 |
| PFIZER INC. | $181 |
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: 2022-12-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221202001794 | I | Nurse Practitioner | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 84 | 72 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 65 | 45 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 46 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 27 | 27 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 06418)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| Nurse Practitioner | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine, Hospitalist, Internal Medicine | NY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.