MR. JEFFREY EDWARD MARTIN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1639180409

MR. JEFFREY EDWARD MARTIN (CRNA) is a healthcare provider. based in Idabel, Oklahoma. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. R0084629 (OK). The NPI Number for MR. JEFFREY EDWARD MARTIN (CRNA) is 1639180409

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFREY EDWARD MARTIN (CRNA)
NPI
1639180409
Phone
(580) 286-7623
Address
1301 Lincoln Rd
Enumeration Date
10 August 2006
Last Update Date
26 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3863285711
Graduation Year
1984 (42 years ago)
PAC ID
2163479692
Group Practice PAC ID
5092628156
Professional Enrollment ID
I20050406000508
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for MR. JEFFREY EDWARD MARTIN (CRNA)

  • 1301 Lincoln Rd

    Idabel, OK 747457300

    Phone: (580) 286-7623

    Fax: (580) 208-3199

    Type: Location

  • RR 1 BOX 475

    IDABEL, OK 747459766

    Phone: (580) 245-1182

    Fax: (580) 208-3199

    Type: Mailing

  • Putnam Community Medical Center, 611, Zeagler Drive, Palatka, Putnam County, Florida, 32177, United States

    PALATKA, FL 321773810

    Phone: (386) 328-5711

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2023-09-11 • Largest payer in this snapshot: KLS-Martin L.P. ($149).

Total Amount

$149

General + Research + Ownership

Payments

2

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
KLS-Martin L.P.$149
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74745)

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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: 5092628156View full group profile

Reviews

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Frequently asked questions

What is the registry number for MR. JEFFREY EDWARD MARTIN (CRNA)?
The registry entry for MR. JEFFREY EDWARD MARTIN (CRNA) shows NPI 1639180409.
Does the public listing show MR. JEFFREY EDWARD MARTIN (CRNA) as active?
MR. JEFFREY EDWARD MARTIN (CRNA)'s NPI record reflects an active status in NPPES.
What type of care does MR. JEFFREY EDWARD MARTIN (CRNA) provide?
MR. JEFFREY EDWARD MARTIN (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MR. JEFFREY EDWARD MARTIN (CRNA) tied to Idabel, Oklahoma?
If you are local to Idabel, Oklahoma, MR. JEFFREY EDWARD MARTIN (CRNA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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