MR. JAMIE MARTIN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104240639

MR. JAMIE MARTIN (CRNA) is a healthcare provider. based in Pikeville, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 3008509 (KY). The NPI Number for MR. JAMIE MARTIN (CRNA) is 1104240639

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMIE MARTIN (CRNA)
NPI
1104240639
Phone
(606) 218-3500
Address
PO BOX 2917
Enumeration Date
4 February 2014
Last Update Date
5 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
7719117076
Group Practice PAC ID
6709790157
Professional Enrollment ID
I20140306000176
Address ID
KY415011689PI911XXRDXX300

Contacts

Secure Messaging
jmartin21724@PIKEVILLEKYDIRECT.ORG
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

1,371 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

Provider Addresses for MR. JAMIE MARTIN (CRNA)

  • PO BOX 2917

    PIKEVILLE, KY 415022917

    Phone: (606) 218-3500

    Type: Mailing

  • 911 BYPASS RD

    PIKEVILLE, KY 415011689

    Phone: (606) 218-3500

    Type: Location

  • PO BOX 432

    PIKEVILLE, KY 415020432

    Phone: (606) 430-3500

    Fax: (606) 437-1033

    Type: Mailing

  • 911 BYPASS RD BLDG A

    PIKEVILLE, KY 415011689

    Phone: (606) 430-3500

    Fax: (606) 437-1033

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $275.

Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($106).

Total Amount

$275

General + Research + Ownership

Payments

14

Total payment records

General Amount

$275

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

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: 2014-03-06

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
I20140306000176ICertified Registered Nurse Anesthetist (Crna)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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 41502)

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Provider's Procedures

MR. JAMIE MARTIN (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETKY00142Anesthesia for lens surgery1212

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: 6709790157View full group profile
NameSpecialtyState
-KY
Certified Registered Nurse Anesthetist (Crna)KY
-KY
Physician AssistantKY
Physician AssistantKY
A N E S T H E S I O L O G YKY
U R O L O G YKY
O B S T E T R I C S/ G Y N E C O L O G YKY
General SurgeryKY
Family Practice, Emergency MedicineKY

Reviews

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Frequently asked questions

What federal number belongs to MR. JAMIE MARTIN (CRNA)?
The federal identifier for MR. JAMIE MARTIN (CRNA) is NPI 1104240639.
Is MR. JAMIE MARTIN (CRNA)'s NPI currently valid?
The extract we use shows MR. JAMIE MARTIN (CRNA) as active.
What kind of provider is MR. JAMIE MARTIN (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for MR. JAMIE MARTIN (CRNA). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. JAMIE MARTIN (CRNA)?
The page summarizes Pikeville, Kentucky for MR. JAMIE MARTIN (CRNA); expand the address list for detail.
Is MR. JAMIE MARTIN (CRNA) a real provider?
This page reflects official NPPES data for NPI 1104240639. Always confirm identity and privileges with the practice and licensing boards.

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