ANGELISSE MARIE MARTINEZ (NP) – Primary Care Nurse Practitioner, NPI 1013417070
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,500 NURSE PRACTITIONER in FL
Provider Addresses for ANGELISSE MARIE MARTINEZ (NP)
14538 BROADHAVEN BLVD
ORLANDO, FL 328287691
Phone: (787) 568-1506
Type: Mailing
11750 E COLONIAL DR STE 100
ORLANDO, FL 328174656
Phone: (844) 665-4827
Type: Location
345, Summer Place, Foreston Place, Bedford Park, Peachtree City, Fayette County, Georgia, 30269, United States
PEACHTREE CITY, GA 302692805
Phone:
Type: Mailing
South Marietta Parkway Southeast, Marietta, Cobb County, Georgia, 30069, United States
MARIETTA, GA 300677852
Phone: (770) 425-8700
Type: Location
3230 HILLSDALE LN
KISSIMMEE, FL 347417562
Phone: (787) 568-1506
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $1,891.
Total Amount is formed as General ($1,891) + Research ($0) + Ownership ($0) = $1,891.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($1,643).
Total Amount
$1,891
General + Research + Ownership
Payments
17
Total payment records
General Amount
$1,891
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
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: 2020-09-22
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20200922000828 | I | Nurse Practitioner | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32828)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Pain Management, Physical Medicine And Rehabilitation | FL | |
| Interventional Pain Management, Anesthesiology | FL | |
| Pain Management, Physical Medicine And Rehabilitation | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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