MS. LAURIE MARTENS (PAC) – Physician Assistant, NPI 1215906904

MS. LAURIE MARTENS (PAC) is a healthcare provider. based in South portland, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA52 (ME). The NPI Number for MS. LAURIE MARTENS (PAC) is 1215906904

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
MS. LAURIE MARTENS (PAC)
NPI
1215906904
Phone
(207) 347-2947
Address
100 GANNETT DRIVE
Enumeration Date
15 March 2006
Last Update Date
18 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2075233900
Graduation Year
1988 (38 years ago)
PAC ID
2365534088
Group Practice PAC ID
5092605261
Professional Enrollment ID
I20070824000663
Address ID
ME041062327SO100XXWXXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

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Provider Addresses for MS. LAURIE MARTENS (PAC)

  • 100 GANNETT DRIVE

    STE C

    SOUTH PORTLAND, ME 04106

    Phone: (207) 347-2947

    Fax: (207) 874-2317

    Type: Mailing

  • Foden Road, South Portland, Cumberland County, Maine, 04106, United States

    STE 203

    SOUTH PORTLAND, ME 041062327

    Phone: (207) 874-1489

    Fax: (207) 523-8590

    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: 2007-08-24

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
I20070824000663IPhysician AssistantMETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5937$0
99213Established patient office or other outpatient visit, 20-29 minutes1817$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$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: 5092605261View full group profile
NameSpecialtyState
-ME
P S Y C H I A T R YME
Physical Therapist In Private PracticeME
Family Practice, Sports MedicineME
Family PracticeME
Nurse PractitionerME
Family PracticeME
-ME
-ME
Internal MedicineME

Reviews

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Frequently asked questions

Where can patients find MS. LAURIE MARTENS (PAC)'s NPI?
You can confirm MS. LAURIE MARTENS (PAC) with NPI 1215906904; it appears in the national provider directory.
Is MS. LAURIE MARTENS (PAC) active in the national directory?
MS. LAURIE MARTENS (PAC)'s public NPI profile is in an active state.
Can you summarize MS. LAURIE MARTENS (PAC)'s specialty in plain language?
Clinically, the directory lists MS. LAURIE MARTENS (PAC) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MS. LAURIE MARTENS (PAC)?
The snapshot lists South Portland, Maine for MS. LAURIE MARTENS (PAC); download NPPES for the complete set.
Is MS. LAURIE MARTENS (PAC) a real provider?
This page reflects official NPPES data for NPI 1215906904. Always confirm identity and privileges with the practice and licensing boards.

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