LUCAS JACOB MARTIN (APRN) – Nurse Practitioner, NPI 1467001701

LUCAS JACOB MARTIN (APRN) is a healthcare provider. based in Eustis, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11003891 (FL). The NPI Number for LUCAS JACOB MARTIN (APRN) is 1467001701

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
LUCAS JACOB MARTIN (APRN)
NPI
1467001701
Phone
(352) 901-2207
Address
1310 MONTEREY DR
Enumeration Date
10 September 2019
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665536755
Graduation Year
2022 (4 years ago)
PAC ID
4981089018
Group Practice PAC ID
0042640674
Professional Enrollment ID
I20220909002519
Address ID
FL336147120TA4700XAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for LUCAS JACOB MARTIN (APRN)

  • 1310, Monterey Drive, Eustis, Lake County, Florida, 32726, United States

    EUSTIS, FL 327266413

    Phone: (352) 901-2207

    Type: Mailing

  • 189 S ORANGE AVE STE 1830

    ORLANDO, FL 328013261

    Phone: (352) 394-6684

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 155 Open Payments records for all available years, with a total value of $4,117.

Total Amount is formed as General ($4,117) + Research ($0) + Ownership ($0) = $4,117.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ViiV Healthcare Company ($1,264).

Total Amount

$4,117

General + Research + Ownership

Payments

155

Total payment records

General Amount

$4,117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-09-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220909002519INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32726)

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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: 0042640674View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerNV

Reviews

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Frequently asked questions

Is there an official ID for LUCAS JACOB MARTIN (APRN) in U.S. healthcare records?
The official identifier for LUCAS JACOB MARTIN (APRN) is NPI 1467001701.
Is LUCAS JACOB MARTIN (APRN) still an active registrant?
LUCAS JACOB MARTIN (APRN) carries an active NPI according to the public dataset.
How would a patient describe LUCAS JACOB MARTIN (APRN)'s focus?
For LUCAS JACOB MARTIN (APRN), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is LUCAS JACOB MARTIN (APRN) registered?
Use Eustis, Florida as the headline location for LUCAS JACOB MARTIN (APRN) here.
When was this NPI issued?
Enumeration for LUCAS JACOB MARTIN (APRN) is noted as September 10, 2019 where the registry provides it.

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