STEPHANIE MARTIN (CNP) – Family Nurse Practitioner, NPI 1114465325

STEPHANIE MARTIN (CNP) is a healthcare provider. based in Brookville, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 020392 (OH). The NPI Number for STEPHANIE MARTIN (CNP) is 1114465325

Main info

Female
10 Years Of Experience
Name
STEPHANIE MARTIN (CNP)
NPI
1114465325
Phone
(765) 647-0808
Address
10058 COOLEY RD
Enumeration Date
8 February 2017
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5135232111
Graduation Year
2016 (10 years ago)
PAC ID
5597032466
Group Practice PAC ID
8527965664
Professional Enrollment ID
I20170831003141
Address ID
OH450569545OX5151XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for STEPHANIE MARTIN (CNP)

  • 10058 COOLEY RD

    STE C

    BROOKVILLE, IN 470129509

    Phone: (765) 647-0808

    Fax: (795) 647-2728

    Type: Location

  • 5151 MORNING SUN RD STE B

    OXFORD, OH 450569546

    Phone: (513) 524-5522

    Type: Location

  • 1068 State Route 28 Ste C

    Milford, OH 451502095

    Phone: (513) 831-5900

    Fax: (513) 831-0354

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Lundbeck LLC ($36).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lundbeck LLC$36
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: 2017-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170524001630INurse PractitionerINTBD
I20170831003141INurse PractitionerOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes212201$0
81003Automated urinalysis test4242$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza4140$0
71046X-ray of chest, 2 views2020$0
99214Established patient office or other outpatient visit, 30-39 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 47012)

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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: 8527965664View full group profile

Reviews

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Frequently asked questions

What number should I use to identify STEPHANIE MARTIN (CNP) for billing?
Administrative and clinical systems typically use NPI 1114465325 for STEPHANIE MARTIN (CNP).
Does the public listing show STEPHANIE MARTIN (CNP) as active?
STEPHANIE MARTIN (CNP)'s NPI record reflects an active status in NPPES.
How should patients interpret STEPHANIE MARTIN (CNP)'s specialty?
The extract shows Family Nurse Practitioner for STEPHANIE MARTIN (CNP). Clinical services aligned with this taxonomy classification.
Is STEPHANIE MARTIN (CNP) tied to Brookville, Indiana?
If you are local to Brookville, Indiana, STEPHANIE MARTIN (CNP) may be relevant to your search.
Can I export STEPHANIE MARTIN (CNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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