MRS. JILLIAN M MARTIN (FNP, PMHNP) – Family Nurse Practitioner, NPI 1063039261

MRS. JILLIAN M MARTIN (FNP, PMHNP) is a healthcare provider. based in Mashpee, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP, PMHNP. They hold a License No. 282235 (MA). The NPI Number for MRS. JILLIAN M MARTIN (FNP, PMHNP) is 1063039261

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JILLIAN M MARTIN (FNP, PMHNP)
NPI
1063039261
Phone
(508) 221-4045
Address
41 EDGEWATER RD
Enumeration Date
3 July 2020
Last Update Date
21 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7745526000
Graduation Year
2021 (5 years ago)
PAC ID
6103211289
Group Practice PAC ID
9638326671
Professional Enrollment ID
I20220329000106
Address ID
MA026015230HY27XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for MRS. JILLIAN M MARTIN (FNP, PMHNP)

  • 41 EDGEWATER RD

    MASHPEE, MA 026492405

    Phone: (508) 221-4045

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-03-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-27

Latest reported date

Top Companies

Largest payers in this snapshot

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
I20220329000106INurse PractitionerMATBD

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
J0897Injection, denosumab, 1 mg96016$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8787$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7575$0
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
96372Injection of drug or substance under skin or into muscle1717$0
View full utilization report →

Insurance plans in this area (ZIP 02649)

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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: 9638326671View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMA
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMA
Hospitalist, Cardiovascular Disease (Cardiology), Hospitalist, Internal MedicineNY
Diagnostic RadiologyNH
-NH
Diagnostic RadiologyOK
Physician AssistantMA
Internal MedicineMA
Radiation Oncology, Hematology/OncologyOH
Nephrology, Internal MedicineMA

Reviews

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Frequently asked questions

How is MRS. JILLIAN M MARTIN (FNP, PMHNP) identified in CMS data?
CMS-hosted NPPES data lists MRS. JILLIAN M MARTIN (FNP, PMHNP) with NPI 1063039261.
Does the file indicate MRS. JILLIAN M MARTIN (FNP, PMHNP) is practicing under active NPI?
Directory data currently reports MRS. JILLIAN M MARTIN (FNP, PMHNP) as active.
What healthcare role does MRS. JILLIAN M MARTIN (FNP, PMHNP) hold?
Scheduling teams often label MRS. JILLIAN M MARTIN (FNP, PMHNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. JILLIAN M MARTIN (FNP, PMHNP) list a practice location?
Patients near Mashpee, Massachusetts may find MRS. JILLIAN M MARTIN (FNP, PMHNP) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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