ALLEN LIONEL MARTIN (NP, RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104918796

ALLEN LIONEL MARTIN (NP, RN) is a healthcare provider. based in South portland, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials NP, RN. They hold a License No. CNP81743 (ME). The NPI Number for ALLEN LIONEL MARTIN (NP, RN) is 1104918796

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
ALLEN LIONEL MARTIN (NP, RN)
NPI
1104918796
Phone
(207) 661-2018
Address
300 SOUTHBOROUGH DR
Enumeration Date
29 September 2006
Last Update Date
27 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078859905
Graduation Year
2005 (21 years ago)
PAC ID
3375550544
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20060313000480
Address ID
ME041023134PO22XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,871 NURSE PRACTITIONER in ME

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Provider Addresses for ALLEN LIONEL MARTIN (NP, RN)

  • 300, Southborough Drive, South Portland, Cumberland County, Maine, 04106, United States

    SUITE 201

    SOUTH PORTLAND, ME 041066914

    Phone: (207) 661-2018

    Fax: (207) 661-2033

    Type: Mailing

  • 15, Mid-Coast Drive, Belfast, Waldo County, Maine, 04915, United States

    BELFAST, ME 049156079

    Phone: (207) 338-2295

    Fax: (207) 338-2388

    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: 2006-03-13

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
I20060313000480INurse PractitionerMETBD

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 minutes30073$0
99214Established patient office or other outpatient visit, 30-39 minutes9847$0
View full utilization report →

Insurance plans in this area (ZIP 04106)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

Is ALLEN LIONEL MARTIN (NP, RN) listed with a National Provider Identifier?
Yes — ALLEN LIONEL MARTIN (NP, RN) has NPI 1104918796 on file in the registry.
Is there an active status for ALLEN LIONEL MARTIN (NP, RN)?
For scheduling context, ALLEN LIONEL MARTIN (NP, RN) is shown as active in the registry.
What clinical focus is listed for ALLEN LIONEL MARTIN (NP, RN)?
At a glance, ALLEN LIONEL MARTIN (NP, RN) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ALLEN LIONEL MARTIN (NP, RN) associated with South Portland?
Public fields place ALLEN LIONEL MARTIN (NP, RN) around South Portland, Maine. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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