MRS. MARTINE PHILLIPS – Nurse Practitioner, NPI 1043766264
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,243 NURSE PRACTITIONER in FL
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Provider Addresses for MRS. MARTINE PHILLIPS
Hollywood Boulevard, Alexander Manor, Beverly Hills, Steubenville, Jefferson County, Ohio, 43952, United States
HOLLYWOOD, FL 330206787
Phone: (954) 804-6607
Type: Mailing
2750, North University Drive, Davie, Broward County, Florida, 33024, United States
DAVIE, FL 330242546
Phone: (954) 804-6607
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $1,050.
Total Amount is formed as General ($1,050) + Research ($0) + Ownership ($0) = $1,050.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Alkermes, Inc. ($483).
Total Amount
$1,050
General + Research + Ownership
Payments
28
Total payment records
General Amount
$1,050
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $483 |
| ABBVIE INC. | $415 |
| Otsuka America Pharmaceutical, Inc. | $125 |
| Indivior Inc. | $28 |
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: 2020-12-23
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 |
|---|---|---|---|---|
| I20201223002557 | 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 33020)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL |
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