KATIE MARTIN (NP-C) – Family Nurse Practitioner, NPI 1104479534
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
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Provider Addresses for KATIE MARTIN (NP-C)
40th Street South, Moorhead, Clay County, Minnesota, 56560, United States
MOORHEAD, MN 565607516
Phone:
Type: Mailing
Lake Region Healthcare, 712, South Cascade Street, Downtown, Fergus Falls, Otter Tail County, Minnesota, 56537, United States
FERGUS FALLS, MN 565372913
Phone: (218) 736-8000
Type: Location
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 $5.
Total Amount is formed as General ($5) + Research ($0) + Ownership ($0) = $5.
Last reported payment date: 2023-05-04 • Largest payer in this snapshot: Organon LLC ($5).
Total Amount
$5
General + Research + Ownership
Payments
1
Total payment records
General Amount
$5
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $5 |
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: 2019-09-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190913000669 | I | Nurse Practitioner | MN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 212 | 113 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 110 | 79 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 25 | 13 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 25 | 14 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 19 | 18 | $0 |
Insurance plans in this area (ZIP 56560)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| General Surgery | MN | |
| Family Practice | MN | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| C H I R O P R A C T I C | MN | |
| Physician Assistant | MN | |
| Hematology/Oncology, Internal Medicine | MN | |
| Hospitalist, Internal Medicine | ND |
Reviews
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