SHANA LYNN MARTINEZ – Family Nurse Practitioner, NPI 1720618788

SHANA LYNN MARTINEZ is a healthcare provider. based in Ankeny, Iowa. specializing in NURSE PRACTITIONER. They hold a License No. A157506 (IA). The NPI Number for SHANA LYNN MARTINEZ is 1720618788

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SHANA LYNN MARTINEZ
NPI
1720618788
Phone
(319) 217-1438
Address
1012 NW 32ND ST
Enumeration Date
18 January 2020
Last Update Date
9 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
1658799697
Group Practice PAC ID
7618866096
Professional Enrollment ID
I20220329001554
Address ID
IA500251056Au515XXAVEX300
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

3,532 NURSE PRACTITIONER in IA

Provider Addresses for SHANA LYNN MARTINEZ

  • 1012 NW 32ND ST

    ANKENY, IA 500237834

    Phone: (319) 217-1438

    Type: Mailing

  • 1015 UNION STREET

    BOONE, IA 500364821

    Phone: (515) 248-1447

    Fax: (515) 248-1440

    Type: Mailing

  • 623 W NORTH STREET

    MADRID, IA 501561023

    Phone: (515) 795-4300

    Fax: (515) 795-4145

    Type: Location

  • 1200 UNIVERSITY AVE STE 200

    DES MOINES, IA 503142355

    Phone: (515) 248-1447

    Fax: (515) 248-1440

    Type: Mailing

  • 3510 LINCOLN WAY

    AMES, IA 500148533

    Phone: (515) 232-0628

    Fax: (515) 232-0727

    Type: Location

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 $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2023-12-18 • Largest payer in this snapshot: ABBVIE INC. ($57).

Total Amount

$147

General + Research + Ownership

Payments

8

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-18

Latest reported date

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: 2022-03-29

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
I20220329001554INurse PractitionerIATBD

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 50023)

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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: 7618866096View full group profile
NameSpecialtyState
Nurse PractitionerIA
Nurse PractitionerOK
Nurse PractitionerME
Nurse PractitionerOK
Nurse PractitionerIA
General SurgeryIA
Nurse PractitionerNC
Nurse PractitionerIA
Cardiovascular Disease (Cardiology), Internal MedicineTX
Emergency Medicine, Internal MedicineWI

Reviews

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Frequently asked questions

What NPI should I save for SHANA LYNN MARTINEZ?
Save NPI 1720618788 if you need a stable reference for SHANA LYNN MARTINEZ.
Does this profile mean SHANA LYNN MARTINEZ is currently active?
Yes — SHANA LYNN MARTINEZ appears active in the national provider directory.
What kind of provider is SHANA LYNN MARTINEZ?
The page reflects Family Nurse Practitioner for SHANA LYNN MARTINEZ. Clinical services aligned with this taxonomy classification.
Where is SHANA LYNN MARTINEZ's primary listing?
We display Ankeny, Iowa because that is what the record indicates for SHANA LYNN MARTINEZ.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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