MARIA RAVKATOVNA MARTIN – Acute Care Nurse Practitioner, NPI 1417670449

MARIA RAVKATOVNA MARTIN is a healthcare provider. based in Albany, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN252454 (GA). The NPI Number for MARIA RAVKATOVNA MARTIN is 1417670449

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MARIA RAVKATOVNA MARTIN
NPI
1417670449
Phone
(229) 854-4670
Address
539 N. WESTORER BLVD
Enumeration Date
23 September 2022
Last Update Date
23 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3146172000
Graduation Year
2022 (4 years ago)
PAC ID
8224400882
Group Practice PAC ID
0143608372
Professional Enrollment ID
I20230207002787
Address ID
MO631041016SA1201XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MARIA RAVKATOVNA MARTIN

  • 539 N. WESTORER BLVD

    AP 4101

    ALBANY, GA 31707

    Phone: (229) 854-4670

    Type: Mailing

  • 1201 GRANT BLVD

    ST LOUIS, MO 63104

    Phone: (314) 257-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-02-07

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
I20230207002787INurse PractitionerMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 31707)

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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: 0143608372View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
Pediatric Medicine, Hematology/OncologyTN
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)MO
Pediatric MedicineIL
G A S T R O E N T E R O L O G YWV
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO
Infectious DiseaseOH
Physician AssistantMO
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARIA RAVKATOVNA MARTIN?
MARIA RAVKATOVNA MARTIN — NPI 1417670449 — is the standard way to identify this listing.
Does CMS list MARIA RAVKATOVNA MARTIN as active?
Yes — MARIA RAVKATOVNA MARTIN is active in the NPI listing used on this page.
What is MARIA RAVKATOVNA MARTIN's specialty?
The listing groups MARIA RAVKATOVNA MARTIN with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MARIA RAVKATOVNA MARTIN list a practice location?
Patients near Albany, Georgia may find MARIA RAVKATOVNA MARTIN in results; validate coverage separately.
Is the information about MARIA RAVKATOVNA MARTIN up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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