KOURTNEY MARTIN (CNM) – Advanced Practice Midwife, NPI 1952072571

KOURTNEY MARTIN (CNM) is a healthcare provider. based in Orange park, Florida. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 11015562 (FL). The NPI Number for KOURTNEY MARTIN (CNM) is 1952072571

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KOURTNEY MARTIN (CNM)
NPI
1952072571
Phone
(904) 264-1628
Address
1560 KINGSLEY AVE STE 4
Enumeration Date
23 September 2021
Last Update Date
21 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5022593250
Graduation Year
2021 (5 years ago)
PAC ID
4981092111
Group Practice PAC ID
7012811284
Professional Enrollment ID
I20240202003479
Address ID
KY402074730LO4123XLNXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:4State licenses:2Digital endpointsOther names

363 CERTIFIED NURSE MIDWIFE (CNM) in FL

Provider Addresses for KOURTNEY MARTIN (CNM)

  • 1560 KINGSLEY AVE STE 4

    ORANGE PARK, FL 320739200

    Phone: (904) 264-1628

    Type: Location

  • 197 N LAKE CUNNINGHAM AVE

    JACKSONVILLE, FL 322597939

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2023-10-05 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($92).

Total Amount

$150

General + Research + Ownership

Payments

8

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-05

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: 2024-02-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240202003479ICertified Nurse Midwife (Cnm)KYTBD

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 32073)

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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: 7012811284View full group profile
NameSpecialtyState
Nurse PractitionerIL
Orthopedic SurgeryIN
Nurse PractitionerKY
Nurse PractitionerIL
Family PracticeIL
Nurse PractitionerKY
-IL
Internal MedicineKY
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I verify KOURTNEY MARTIN (CNM) with an NPI only?
You can start verification with NPI 1952072571 for KOURTNEY MARTIN (CNM), then check state licensing separately.
Can I rely on KOURTNEY MARTIN (CNM) being an active provider?
As of the registry snapshot, KOURTNEY MARTIN (CNM) is marked active.
What is KOURTNEY MARTIN (CNM) best known for clinically?
Directory data describes KOURTNEY MARTIN (CNM) with Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Where is KOURTNEY MARTIN (CNM) based?
KOURTNEY MARTIN (CNM) is tied to Orange Park, Florida in the data we show; additional addresses may exist on the full record.
Why does KOURTNEY MARTIN (CNM) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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