TIFFANY M MARTINEZ (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063813962
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,869 NURSE PRACTITIONER in ME
Provider Addresses for TIFFANY M MARTINEZ (PMHNP)
11 BACK RD
PLEASANT POINT, ME 046674119
Phone: (207) 853-0644
Fax: (336) 864-2830
Type: Mailing
PO BOX 7291
LEWISTON, ME 042437291
Phone: (207) 777-8553
Fax: (207) 777-8800
Type: Mailing
93 CAMPUS AVE
LEWISTON, ME 04240
Phone: (207) 777-8700
Fax: (207) 777-8826
Type: Location
50 Monument Sq
Portland, ME 041014039
Phone: (207) 221-8631
Type: Location
100 Campus Ave Ste 208
Lewiston, ME 042406069
Phone: (207) 777-8974
Fax: (207) 777-8946
Type: Location
93 Campus Ave
Lewiston, ME 04240
Phone: (207) 777-8700
Fax: (207) 777-8826
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: 2014-10-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141015000863 | I | Nurse Practitioner | ME | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90792 | Psychiatric diagnostic evaluation with medical services | 46 | 41 | $0 |
Insurance plans in this area (ZIP 04667)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| Emergency Medicine, Family Practice | ME | |
| - | IL | |
| Family Practice | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | OK | |
| Mental Health Counselor | ME | |
| Nurse Practitioner | CT |
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