KELLEY MARTIN (APRN-CNP) – Nurse Practitioner, NPI 1184291767

KELLEY MARTIN (APRN-CNP) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP. They hold a License No. R0117418 (OK). The NPI Number for KELLEY MARTIN (APRN-CNP) is 1184291767

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KELLEY MARTIN (APRN-CNP)
NPI
1184291767
Phone
(918) 499-4855
Address
6600 S YALE AVE STE 1400
Enumeration Date
10 June 2021
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9188728822
Graduation Year
2021 (5 years ago)
PAC ID
7618365453
Group Practice PAC ID
1557493228
Professional Enrollment ID
I20211027000593
Address ID
OK740121026BR421XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for KELLEY MARTIN (APRN-CNP)

  • 6600 S YALE AVE STE 1400

    TULSA, OK 741363331

    Phone: (918) 499-4855

    Fax: (918) 488-6098

    Type: Mailing

  • 6151 S YALE AVE STE 1304

    TULSA, OK 741361907

    Phone: (918) 502-3200

    Fax: (918) 502-3205

    Type: Location

  • PO BOX 156

    BROKEN ARROW, OK 740130156

    Phone: (919) 710-6429

    Type: Mailing

  • 421 STONE WOOD DR

    BROKEN ARROW, OK 740121026

    Phone: (918) 872-8822

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($124).

Total Amount

$160

General + Research + Ownership

Payments

3

Total payment records

General Amount

$160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

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: 2021-10-27

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
I20211027000593INurse PractitionerOKTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes612218$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes497217$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes318279$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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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: 1557493228View full group profile
NameSpecialtyState
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Internal Medicine, Infectious DiseaseOK
-OK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Is KELLEY MARTIN (APRN-CNP) listed with a National Provider Identifier?
Yes — KELLEY MARTIN (APRN-CNP) has NPI 1184291767 on file in the registry.
Is KELLEY MARTIN (APRN-CNP) shown as active in public data?
Registry records indicate KELLEY MARTIN (APRN-CNP) maintains an active NPI.
What kind of doctor is KELLEY MARTIN (APRN-CNP)?
KELLEY MARTIN (APRN-CNP) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KELLEY MARTIN (APRN-CNP)?
Travel planning: use Tulsa, Oklahoma as the reference point for KELLEY MARTIN (APRN-CNP), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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