MITCHELL DREW MARTINEAU (NP) – Nurse Practitioner, NPI 1417994815
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MITCHELL DREW MARTINEAU (NP)
307 BOATNER RD STE 114
EGLIN AFB, FL 325421302
Phone: (850) 883-8435
Fax: (850) 883-8311
Type: Mailing
1005, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States
ADMINISTRATION
FORT WALTON BEACH, FL 325476707
Phone: (850) 863-8100
Fax: (850) 863-8548
Type: Mailing
1032, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States
SUITE 210
FORT WALTON BEACH, FL 325476661
Phone: (850) 863-8260
Fax: (850) 862-6098
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 186 Open Payments records for all available years, with a total value of $3,492.
Total Amount is formed as General ($3,492) + Research ($0) + Ownership ($0) = $3,492.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,077).
Total Amount
$3,492
General + Research + Ownership
Payments
186
Total payment records
General Amount
$3,492
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
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: 2019-11-21
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 |
|---|---|---|---|---|
| I20191121001545 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 861 | 570 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 32542)
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