STEPHANIE MARIE MARTINEZ (MSN, RN, CNP) – Family Nurse Practitioner, NPI 1114665320

STEPHANIE MARIE MARTINEZ (MSN, RN, CNP) is a healthcare provider. based in Defiance, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, RN, CNP. They hold a License No. 1081659 (TX). The NPI Number for STEPHANIE MARIE MARTINEZ (MSN, RN, CNP) is 1114665320

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE MARIE MARTINEZ (MSN, RN, CNP)
NPI
1114665320
Phone
(260) 797-2120
Address
1009 AYERSVILLE AVE
Enumeration Date
26 May 2022
Last Update Date
6 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2542950117
Graduation Year
2016 (10 years ago)
PAC ID
9739563065
Group Practice PAC ID
9931236171
Professional Enrollment ID
I20220906000073
Address ID
TX765046806TE3614XLOOP601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for STEPHANIE MARIE MARTINEZ (MSN, RN, CNP)

  • 1009 AYERSVILLE AVE

    DEFIANCE, OH 435123104

    Phone: (260) 797-2120

    Type: Mailing

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • 2401 S 31ST ST

    TEMPLE, TX 765083104

    Phone: (254) 724-2111

    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 $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-10-13 • Largest payer in this snapshot: Merz Pharmaceuticals, LLC ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-13

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: 2022-09-06

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
I20220906000073INurse PractitionerTXTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes6636$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or5426$0
99214Established patient office or other outpatient visit, 30-39 minutes2121$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)1717$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 43512)

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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: 9931236171View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerNV
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerWA

Reviews

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Frequently asked questions

What unique ID ties claims to STEPHANIE MARIE MARTINEZ (MSN, RN, CNP)?
NPI 1114665320 is assigned to STEPHANIE MARIE MARTINEZ (MSN, RN, CNP) under the national enumeration system.
Is STEPHANIE MARIE MARTINEZ (MSN, RN, CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does STEPHANIE MARIE MARTINEZ (MSN, RN, CNP) work in?
You can think of STEPHANIE MARIE MARTINEZ (MSN, RN, CNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHANIE MARIE MARTINEZ (MSN, RN, CNP)?
The page summarizes Defiance, Ohio for STEPHANIE MARIE MARTINEZ (MSN, RN, CNP); expand the address list for detail.
How can I contact STEPHANIE MARIE MARTINEZ (MSN, RN, CNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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